    [Appendix]
    [Detailed Budget Estimates by Agency]
    [Department of Health and Human Services, except Social Security]
    [From the U.S. Government Printing Office, www.gpo.gov]

                         THE BUDGET FOR FISCAL YEAR 2002

                     DEPARTMENT OF HEALTH AND HUMAN SERVICES

                          FOOD AND DRUG ADMINISTRATION

                                  Federal Funds

    General and special funds:

                              Salaries and Expenses

        For necessary expenses of the Food and Drug Administration,
    including hire and purchase of passenger motor vehicles; for payment of
    space rental and related costs pursuant to Public Law 92-313 for
    programs and activities of the Food and Drug Administration which are
    included in this Act; for rental of special purpose space in the
    District of Columbia or elsewhere; and for miscellaneous and emergency
    expenses of enforcement activities, authorized and approved by the
    Secretary and to be accounted for solely on the Secretary's certificate,
    not to exceed $25,000; [$1,217,797,000] $1,335,389,000, of which not to
    exceed [$149,273,000 in] $161,716,000 to be derived from prescription
    drug user fees authorized by 21 U.S.C. 379(h) [may], including any such
    fees assessed prior to the current fiscal year but credited during the
    current year, in accordance with section 736(g)(4), and shall be
    credited to this appropriation and remain available until expended:
    Provided, [That fees derived from applications received during fiscal
    year 2001 shall be subject to the fiscal year 2001 limitation: Provided
    further, That none of these funds shall be used to develop, establish,
    or operate any program of user fees authorized by 31 U.S.C. 9701:
    Provided further,] That of the total amount appropriated[: (1)
    $285,269,000 shall be for the Center for Food Safety and Applied
    Nutrition and related field activities in the Office of Regulatory
    Affairs; (2) $317,547,000 shall be for the Center for Drug Evaluation
    and Research and related field activities in the Office of Regulatory
    Affairs, of which no less than $12,534,000 shall be available for grants
    and contracts awarded under section 5 of the Orphan Drug Act (21 U.S.C.
    360ee); (3) $140,489,000 shall be for the Center for Biologics
    Evaluation and Research and for related field activities in the Office
    of Regulatory Affairs; (4) $64,069,000 shall be for the Center for
    Veterinary Medicine and for related field activities in the Office of
    Regulatory Affairs; (5) $165,207,000 shall be for the Center for Devices
    and Radiological Health and for related field activities in the Office
    of Regulatory Affairs; (6) $35,568,000 shall be for the National Center
    for Toxicological Research; (7) $25,855,000 shall be for Rent and
    Related activities, other than the amounts paid to the General Services
    Administration; (8) $104,954,000 shall be for payments to the General
    Services Administration for rent and related costs; and (9) $78,839,000
    shall be for other activities, including the Office of the Commissioner;
    the Office of Management and Systems; the Office of the Senior Associate
    Commissioner; the Office of International and Constituent Relations; the
    Office of Policy, Legislation, and Planning; and central services for
    these offices: Provided further, That funds may be transferred from one
    specified activity to another with the prior approval of the Committees
    on Appropriations of both Houses of Congress] $6,000,000 for costs
    related to occupancy of new facilities at White Oak, Maryland, to remain
    available until September 30, 2003. In addition, $2,950,000, solely for
    carrying out section 804 of the Federal Food, Drug, and Cosmetic Act, to
    be available only after the requirements of section 804(l) have been
    satisfied.
        In addition, mammography user fees authorized by 42 U.S.C. 263(b)
    may be credited to this account, to remain available until expended.
        In addition, export certification user fees authorized by 21 U.S.C.
    381 may be credited to this account, to remain available until expended.

                            Buildings and Facilities

        For plans, construction, repair, improvement, extension, alteration,
    and purchase of fixed equipment or facilities of or used by the Food and
    Drug Administration, where not otherwise provided, [$31,350,000]
    $34,281,000, to remain available until expended (7 U.S.C. 2209b).
    (Agriculture, Rural Development, Food and Drug Administration, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a) of
    P.L. 106-387.)

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-0-1-554      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    01.99 Balance, start of year............
        Receipts:
    02.20 Cooperative research and
            development agreements..........           1           1           1
        Appropriations:
    05.00 Salaries and expenses.............          -1          -1          -1
                                               ---------   ---------  ----------
    07.99 Balance, end of year..............
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-0-1-554      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Foods...........................         280         285         306
    00.02   Drugs...........................         371         390         440
    00.03   Devices and radiological
              products......................         158         165         179
    00.04   National center for
              toxicological research........          36          35          37
    00.05   Tobacco.........................           6
    00.06   Other activities................          67          67          81
    00.07   Other rent and rent related
              activities....................          32          26          32
    00.08   Rental payments.................          88          99          99
    00.09   Buildings and facilities........          11          31          34
    00.10   CRADAs..........................           1           1           1
    09.01 Reimbursable program..............         185         196         218
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       1,235       1,295       1,427
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........         100          96          96
    22.00 New budget authority (gross)......       1,229       1,318       1,430
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           2
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       1,331       1,414       1,526
    23.95 Total new obligations.............      -1,235      -1,295      -1,427
    23.98 Unobligated balance expiring or
            withdrawn.......................                     -23          -3
    24.40 Unobligated balance carried
            forward, end of year............          96          96          96
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................       1,052       1,123       1,211
    40.76   Reduction pursuant to P.L. 106-
              113...........................          -3
    40.77   Reduction pursuant to P.L. 106-
              554 (0.22 percent)............                      -2
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       1,049       1,121       1,211
          Mandatory:

    60.25   Appropriation (special fund,
              indefinite)...................           1           1           1
          Spending authority from offsetting
              collections:

            Discretionary:
    68.00     Offsetting collections (cash).         182         196         218
    68.10     Change in uncollected customer
                payments from Federal
                sources.....................           2
    68.15     Adjustments to uncollected
                customer payments from
                Federal sources.............          -5
                                               ---------   ---------  ----------
    68.90       Spending authority from
                  offsetting collections
                  (total discretionary).....         179         196         218
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       1,229       1,318       1,430
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         346         371         372
    72.95   Uncollected customer payments
              from Federal sources, start of
              year..........................         -11         -13         -13
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         335         358         359
    73.10 Total new obligations.............       1,235       1,295       1,427
    73.20 Total outlays (gross).............      -1,205      -1,294      -1,392
    73.40 Adjustments in expired accounts
            (net)...........................          -3
    73.45 Recoveries of prior year
            obligations.....................          -2
    74.00 Change in uncollected customer
            payments from Federal sources...          -2

    [[Page 436]]

          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         371         372         407
    74.95   Uncollected customer payments
              from Federal sources, end of
              year..........................         -13         -13         -13
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         358         359         394
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................         973       1,002       1,087
    86.93 Outlays from discretionary
            balances........................         231         291         304
    86.97 Outlays from new mandatory
            authority.......................           1           1           1
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       1,205       1,294       1,392
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....        -182        -196        -218
          Against gross budget authority only:

    88.95   Change in uncollected customer
              payments from Federal sources.          -2
    88.96   Adjustment to uncollected
              customer payments from Federal
              sources.......................           5
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       1,050       1,122       1,212
    90.00 Outlays...........................       1,023       1,098       1,174
    ---------------------------------------------------------------------------

                            [In millions of dollars]

                                            2000         2001        2002
    Distribution of budget authority by
        account:
      Salaries and expenses.............         950         991        1078
      Rental payments (FDA).............          88          99          99
      Buildings and facilities..........          11          31          34
    Distribution of outlays by account:
      Salaries and expenses.............         923         981        1055
      Rental payments (FDA).............          88          99          99
      Buildings and facilities..........          12          18          30

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         2000 actual  2001 est.   2002 est.
    Enacted/requested:
      Budget Authority..................       1,050       1,122       1,212
      Outlays...........................       1,023       1,098       1,174
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................
      Outlays...........................
                                        ------------------------------------
    Total:
      Budget Authority..................       1,050       1,122       1,212
      Outlays...........................       1,023       1,098       1,174
                                        ====================================

        The Food and Drug Administration (FDA) administers laws concerning
    misbranded and adulterated foods, drugs, human biologics, medical
    devices, cosmetics, and human-made sources of radiation. The Budget
    provides a $123.6 million (+10 percent) increase over the FY 2001
    enacted program level. The Budget includes $1,176.6 million for salaries
    and expenses, which includes funding for the prevention and surveillance
    of Bovine Spongiform Encephalopathy (BSE); prevention of adverse events
    related to human drugs, medical devices, and biologic products;
    protection of human subjects in clinical studies; food safety;
    inspections of FDA-regulated products and related production processes,
    as well as funding for the first phase of an integrated financial
    system, and the first phase of FDA's consolidation into the White Oak
    Maryland site. Of the salaries and expenses amount, $98.9 million will
    be used for payments to the General Services Administration for rent and
    rent related costs (an additional $6.2 million will be derived from
    fees). In addition, the Budget includes $203.5 million for user fees, an
    increase of $33.1 million in user fees over FY 2001, which will be used
    to finance FDA activities. The $203.5 million in user fees includes $20
    million in new user fees for import program operations and food export
    certificates. The buildings and facilities appropriation of $34.3
    million provides funds for projects related to repair, construction,
    alteration, and improvement of buildings and facilities of FDA,
    including a replacement laboratory in Los Angeles, California.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-0-1-554      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         457         493         542
    11.3      Other than full-time permanent          30          31          34
    11.5      Other personnel compensation..          17          18          20
                                               ---------   ---------  ----------
    11.9        Total personnel compensation         504         542         596
    12.1    Civilian personnel benefits.....         119         125         137
    21.0    Travel and transportation of
              persons.......................          21          18          21
    22.0    Transportation of things........           4           2           3
    23.1    Rental payments to GSA..........          88          99          99
    23.2    Rental payments to others.......           5           6           6
    23.3    Communications, utilities, and
              miscellaneous charges.........          18          21          26
    24.0    Printing and reproduction.......           3           3           3
    25.1    Advisory and assistance services          15          12          16
    25.2    Other services..................          54          50          57
    25.3    Purchases of goods and services
              from Government accounts......          49          45          48
    25.4    Operation and maintenance of
              facilities....................          31          24          26
    25.5    Research and development
              contracts.....................          30          23          31
    25.7    Operation and maintenance of
              equipment.....................          24          26          27
    26.0    Supplies and materials..........          15          17          20
    31.0    Equipment.......................          35          39          43
    32.0    Land and structures.............           8          20          23
    41.0    Grants, subsidies, and
              contributions.................          25          25          25
    42.0    Insurance claims and indemnities           2           2           2
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..       1,050       1,099       1,209
    99.0  Reimbursable obligations..........         185         196         218
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       1,235       1,295       1,427
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9911-0-1-554      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......       7,729       7,967       8,269
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......       1,138       1,145       1,165
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......          17
    ---------------------------------------------------------------------------

                              Salaries and Expenses

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-2-1-554      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations.............                                  20
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                  20
    23.95 Total new obligations.............                                 -20
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    68.00   Spending authority from
              offsetting collections
              (gross): Offsetting
              collections (cash)............                                  20
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                  20
    73.20 Total outlays (gross).............                                 -20
    ----------------------------------------------------------------------------

    [[Page 437]]

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................                                  20
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....                                 -20
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................
    ---------------------------------------------------------------------------

        The Budget includes $203.5 million in user fees, of which $20.0
    million are new user fees to finance FDA activities as reflected in the
    legislative proposal schedule. The authorizing legislation will be
    proposed to authorize the collection and spending of the fees subject to
    appropriations action.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9911-2-1-554      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    99.0  Reimbursable obligations:
            Subtotal, reimbursable
            obligations.....................                                  20
                                               ---------   ---------  ----------
    99.9    Total new obligations...........                                  20
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9911-2-1-554      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    2001  Total compensable workyears: Full-
            time equivalent employment......                                  70
    ---------------------------------------------------------------------------

    Public enterprise funds:

               Revolving Fund for Certification and Other Services

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4309-0-3-554      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations.............           4           4           5
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........           3           2           3
    22.00 New budget authority (gross)......           4           4           5
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......           7           6           8
    23.95 Total new obligations.............          -4          -4          -5
    24.40 Unobligated balance carried
            forward, end of year............           2           3           3
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    69.00   Offsetting collections (cash)...           4           4           5
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................           1           2           1
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................           1           2           1
    73.10 Total new obligations.............           4           4           5
    73.20 Total outlays (gross).............          -4          -4          -5
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.           2           1           1
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year           2           1           1
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................           4           4           5
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....          -4          -4          -5
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................
    ---------------------------------------------------------------------------

        FDA certifies color additives for use in foods, drugs, and
    cosmetics. It also lists color additives for use in foods, drugs,
    medical devices, and cosmetics (21 U.S.C. 346a, 356, 357, 376). These
    services are financed wholly by fees paid by the industries affected.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4309-0-3-554      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    11.1  Personnel compensation: Full-time
            permanent.......................           2           2           2
    12.1  Civilian personnel benefits.......           1           1           1
    25.2  Other services....................           1           1           2
                                               ---------   ---------  ----------
    99.9    Total new obligations...........           4           4           5
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-4309-0-3-554      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    2001  Total compensable workyears: Full-
            time equivalent employment......          33          38          38
    ---------------------------------------------------------------------------

                  HEALTH RESOURCES AND SERVICES ADMINISTRATION

                                  Federal Funds

    General and special funds:

                          Health Resources and Services

        For carrying out titles II, III, VII, VIII, X, XII, XIX, and XXVI of
    the Public Health Service Act, section 427(a) of the Federal Coal Mine
    Health and Safety Act, title V and [section] sections 1128E and 1820 of
    the Social Security Act, the Health Care Quality Improvement Act of
    1986, as amended, the Native Hawaiian Health Care Act of 1988, as
    amended, and the Poison Control Center Enhancement and Awareness Act,
    [$5,525,476,000, of which $226,224,000 shall be available for the
    construction and renovation of health care and other facilities, and]
    $4,982,593,000, of which [$25,000,000] $24,997,000 from general
    revenues, notwithstanding section 1820(j) of the Social Security Act,
    shall be available for carrying out the Medicare rural hospital
    flexibility grants program under section 1820 of such Act: Provided,
    That the Division of Federal Occupational Health may utilize personal
    services contracting to employ professional management/administrative
    and occupational health professionals: Provided further, That of the
    funds made available under this heading, $250,000 shall be available
    until expended for facilities renovations at the Gillis W. Long Hansen's
    Disease Center: Provided further, That in addition to fees authorized by
    section 427(b) of the Health Care Quality Improvement Act of 1986, fees
    shall be collected for the full disclosure of information under the Act
    sufficient to recover the full costs of operating the National
    Practitioner Data Bank, and shall remain available until expended to
    carry out that Act: Provided further, That fees collected for the full
    disclosure of information under the ``Health Care Fraud and Abuse Data
    Collection Program,'' authorized by section 1128E(d)(2) of the Social
    Security Act, shall be sufficient to recover the full costs of operating
    the program, and shall remain available until expended to carry out that
    Act: Provided further, That no more than $5,000,000 is available for
    carrying out the provisions of Public Law 104-73: Provided further, That
    of the funds made available under this heading, [$253,932,000]
    $254,170,000 shall be for the program under title X of the Public Health
    Service Act to provide for voluntary family planning projects: Provided
    further, That amounts provided to said projects under such title shall
    not be expended for abortions, that all pregnancy counseling shall be
    nondirective, and that such amounts shall not be expended for any
    activity (including the publication or distribution of literature) that
    in any way tends to promote public support or opposition to any
    legislative proposal or candidate for public office: Provided further,
    That $589,000,000 shall be for State AIDS Drug Assistance Programs
    authorized by section 2616 of the Public Health Service Act: [Provided
    further, That of the amount provided under this heading, $700,000 shall
    be for the American Federation of Negro Affairs Education and Research
    Fund of Philadelphia, $900,000 shall be for the Des Moines University
    Osteopathic Medical Center, $250,000 shall be for the University of
    Alaska,

    [[Page 438]]

    Anchorage, to train Alaska Natives as psychologists, $900,000 shall be
    for Northeastern University in Boston, Massachusetts to train doctors to
    serve in low-income communities, $500,000 shall be for the University of
    Alaska, Anchorage, to recruit and train nurses in rural areas, and
    $230,000 shall be for the Illinois Poison Center:] Provided further,
    That, notwithstanding section 502(a)(1) of the Social Security Act, not
    to exceed [$113,728,000] $108,622,000 is available for carrying out
    special projects of regional and national significance pursuant to
    section 501(a)(2) of such Act[, of which $5,000,000 is for Columbia
    Hospital for Women Medical Center in Washington, D.C., to support
    community outreach programs for women, $5,000,000 is for continuation of
    the traumatic brain injury State demonstration projects, and $100,000 is
    for St. Joseph's Health Services of Rhode Island for the Providence
    Smiles dental program for low-income children.]
        [For special projects of regional and national significance under
    section 501(a)(2) of the Social Security Act, $30,000,000, which shall
    become available on October 1, 2001, and shall remain available until
    September 30, 2002: Provided, That such amount shall not be counted
    toward compliance with the allocation required in section 502(a)(1) of
    such Act: Provided further, That such amount shall be used only for
    making competitive grants to provide abstinence education (as defined in
    section 510(b)(2) of such Act) to adolescents and for evaluations
    (including longitudinal evaluations) of activities under the grants and
    for Federal costs of administering the grants: Provided further, That
    grants shall be made only to public and private entities which agree
    that, with respect to an adolescent to whom the entities provide
    abstinence education under such grant, the entities will not provide to
    that adolescent any other education regarding sexual conduct, except
    that, in the case of an entity expressly required by law to provide
    health information or services the adolescent shall not be precluded
    from seeking health information or services from the entity in a
    different setting than the setting in which the abstinence education was
    provided: Provided further, That the funds expended for such evaluations
    may not exceed 3.5 percent of such amount]: Provided further, $7,556,000
    shall be available under section 751 of the Public Health Service Act
    and $1,907,000 shall be available under section 755, notwithstanding
    section 757(b) of such Act. (Departments of Labor, Health and Human
    Services, and Education, and Related Agencies Appropriations Act, 2001,
    as enacted by section 1(a)(1) of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0350-0-1-550      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.02   Loan guarantee subsidy..........                       1           1
    00.07   Reestimates of loan guarantee
              subsidy.......................           3
    00.08   Interest on reestimates of loan
              guarantee subsidy.............           1
    00.10   Health centers..................       1,013       1,164       1,288
    00.11   National Health Service Corps...          38          42          43
    00.12   National Health Service Corps
              recruitment...................          79          88          84
    00.13   Hansen's disease center.........          20          18          18
    00.14   Payment to Hawaii for the
              treatment of Hansen's disease.           2           2           2
    00.15   Black lung clinics..............           6           6           6
    00.16   Nursing loan repayment..........           2           2           2
    00.17   Health professions..............         300         353         140
    00.18   Maternal and child health block
              grant.........................         709         714         709
    00.19   Healthy start...................          90          90          90
    00.20   Universal newborn hearing.......           3           8           7
    00.21   Emergency medical services......          17          19          16
    00.22   Poison control centers..........           3          20          16
    00.23   HIV/AIDS........................       1,594       1,808       1,808
    00.24   Organ transplantation...........          10          15          20
    00.25   Health care facilities..........         115         255
    00.26   Bone marrow donor registry......          18          22          22
    00.27   Rural health policy development.          33          13           6
    00.28   Rural health outreach grants....          36          58          38
    00.29   Rural health flexibility grants.          25          25          25
    00.30   Telehealth......................                      36           6
    00.31   Program management..............         125         138         147
    00.32   Family planning.................         239         254         254
    00.33   Abstinence education............          44          50          50
    00.34   State access program............          15          15          15
    00.35   Community access program........          25         125
    00.36   Health centers tort claim fund..          12          13          13
    00.37   Trauma EMS......................                       3           2
    00.38   Adoption awareness..............                      10          10
    00.39   Childrens' GME..................          40         235         200
    00.40   Denali commission...............                      10
    00.41   Discretionary abstinence grants.                      20          30
    00.42   State offices of rural health...                                   4
                                               ---------   ---------  ----------
    03.00   Total direct programs...........       4,617       5,632       5,072
    09.01 Reimbursable program..............         129         147         141
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       4,746       5,779       5,213
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........          51          49          39
    22.00 New budget authority (gross)......       4,751       5,769       5,204
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           1
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       4,803       5,818       5,243
    23.95 Total new obligations.............      -4,746      -5,779      -5,213
    23.98 Unobligated balance expiring or
            withdrawn.......................          -8
    24.40 Unobligated balance carried
            forward, end of year............          49          39          30
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................       4,590       5,551       4,983
    40.75   Reduction pursuant to P.L. 106-
              554 (Labor/HHS)...............                      -1
    40.76   Reduction pursuant to P.L. 106-
              113...........................         -21
    41.00   Transferred to other accounts...          -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       4,568       5,550       4,983
    55.00   Advance appropriation...........                      20          30
          Mandatory:

    60.00   Appropriation...................          50          50          50
    60.05   Appropriation (indefinite)......           4
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................          54          50          50
          Spending authority from offsetting
              collections:

            Discretionary:
    68.00     Offsetting collections (cash).         118         145         133
    68.10     Change in uncollected customer
                payments from Federal
                sources.....................         -31         -53
    68.15     Adjustments to uncollected
                customer payments from
                Federal sources.............          41          53
                                               ---------   ---------  ----------
    68.90       Spending authority from
                  offsetting collections
                  (total discretionary).....         128         145         133
          Mandatory:

    69.00   Offsetting collections
              (cash)(HIPDB).................           1           4           8
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       4,751       5,769       5,204
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................       3,162       3,512       4,405
    72.95   Uncollected customer payments
              from Federal sources, start of
              year..........................         -84         -53
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................       3,078       3,459       4,405
    73.10 Total new obligations.............       4,746       5,779       5,213
    73.20 Total outlays (gross).............      -4,333      -4,830      -5,279
    73.40 Adjustments in expired accounts
            (net)...........................         -62         -55
    73.45 Recoveries of prior year
            obligations.....................          -1
    74.00 Change in uncollected customer
            payments from Federal sources...          31          53
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.       3,512       4,405       4,339
    74.95   Uncollected customer payments
              from Federal sources, end of
              year..........................         -53
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year       3,459       4,405       4,339
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       1,734       2,217       1,998
    86.93 Outlays from discretionary
            balances........................       2,562       2,564       3,242
    86.97 Outlays from new mandatory
            authority.......................           5          17          21
    86.98 Outlays from mandatory balances...          30          32          18
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       4,333       4,830       5,279
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............        -105        -132        -124
    88.40     Non-Federal sources...........         -14         -17         -17
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........        -119        -149        -141

    [[Page 439]]

          Against gross budget authority only:

    88.95   Change in uncollected customer
              payments from Federal sources.          31          53
    88.96   Adjustment to uncollected
              customer payments from Federal
              sources.......................         -41         -53
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       4,622       5,620       5,063
    90.00 Outlays...........................       4,212       4,681       5,138
    ---------------------------------------------------------------------------

                              [Dollars in millions]

                                            2000         2001        2002
    Distribution of budget authority by
        account:
      Health resources and services.....        1013        1164        1288
      Health centers malpractice claims.           5           5           5
    Distribution of outlays by account:
      Health resources and services.....        1013        1164        1288
      Health centers malpractice claims.          12          13          13

    Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in
                                millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0350-0-1-550      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Guaranteed loan levels supportable by subsidy
                    budget authority:
    2150  Health centers: Facilities
            renovation loan guarantee levels           1          14          12
    2150  Health centers: Managed care
            network development loan
            guarantee levels................                                   2
    2150  Health centers: Managed care plan
            loan guarantee levels...........           4          18           7
                                               ---------   ---------  ----------
    2159    Total loan guarantee levels.....           5          32          21
        Guaranteed loan subsidy (in percent):
    2320  Facilities loan subsidy rate......        4.12        0.43        4.08
    2320  Managed care network development
            loan subsidy rate...............        8.19        7.71        9.27
    2320  Managed care plan loan subsidy
            rate............................        5.39        3.93        5.00
                                               ---------   ---------  ----------
    2329    Weighted average subsidy rate...        5.20        2.11        4.88
        Guaranteed loan subsidy budget authority:
    2330  Facilities construction loans.....                                   1
    2330  Managed care network development
            loans...........................
    2330  Managed care plan loan subsidy
            budget authority................                       1
    2330  Subsidy budget authority--
            reestimate......................           4
                                               ---------   ---------  ----------
    2339    Total subsidy budget authority..           4           1           1
        Guaranteed loan subsidy outlays:
    2340  Subsidy outlays facilities
            renovation......................                                   1
    2340  Subsidy outlays managed care
            networks........................
    2340  Subsidy outlays--managed care
            plans...........................                       1
    2340  Subsidy outlays--reestimates......           4
                                               ---------   ---------  ----------
    2349    Total subsidy outlays...........           4           1           1
    ----------------------------------------------------------------------------

        Administrative expense data:
    3510  Administrative expenses...........           1           1           1
    3590  Outlays for administrative
            expenses........................           1           1           1
    ---------------------------------------------------------------------------

        Activities displayed here support categorical health resources and
    services grants and the Medical malpractice claims fund, which pays
    malpractice claims filed against employees of federally-supported health
    centers. The FY 2002 Budget includes a Healthy Communities Innovation
    Fund Initiative that makes available approximately $400 million in
    existing grant activity for innovations in health care delivery at the
    State and local level. Of the $400 million total, Health Resources and
    Services Administration may make available approximately $220 million to
    communities to address health care access issues in innovative ways.
    Funding is also available for the Innovation Fund in the Centers for
    Disease Control and Prevention and Health Care Financing Administration.
    HHS will coordinate these funding streams to achieve the goals of the
    Initiative.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0350-0-1-550      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         103         116         121
    11.3      Other than full-time permanent           4           4           5
    11.5      Other personnel compensation..           4           5           5
                                               ---------   ---------  ----------
    11.9        Total personnel compensation         111         125         131
    12.1    Civilian personnel benefits.....          29          32          33
    21.0    Travel and transportation of
              persons.......................           5           5           5
    22.0    Transportation of things........           1           1           1
    23.1    Rental payments to GSA..........          12          12          12
    23.3    Communications, utilities, and
              miscellaneous charges.........           4           5           4
    24.0    Printing and reproduction.......           2           2           2
    25.1    Advisory and assistance services          43          50          52
    25.2    Other services..................          68          73          82
    25.3    Purchases of goods and services
              from Government accounts......          64          73          72
    25.4    Operation and maintenance of
              facilities....................           1           1           1
    25.6    Medical care....................           1           1           1
    25.7    Operation and maintenance of
              equipment.....................           4           5           5
    26.0    Supplies and materials..........           2           2           2
    31.0    Equipment.......................           6           6           9
    41.0    Grants, subsidies, and
              contributions.................       4,253       5,226       4,647
    42.0    Insurance claims and indemnities          11          13          13
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..       4,617       5,632       5,072
    99.0  Reimbursable obligations..........         129         147         141
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       4,746       5,779       5,213
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0350-0-1-550      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......       1,695       1,816       1,792
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......         242         272         272
    ---------------------------------------------------------------------------

                          Vaccine Injury Compensation

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0320-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 42.0).....................          74          30
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........         115          43          13
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           1
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         116          43          13
    23.95 Total new obligations.............         -74         -30
    24.40 Unobligated balance carried
            forward, end of year............          43          13          13
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................           5           3
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................           5           3
    73.10 Total new obligations.............          74          30
    73.20 Total outlays (gross).............         -75         -33
    73.45 Recoveries of prior year
            obligations.....................          -1
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.           3
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year           3
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.98 Outlays from mandatory balances...          75          33
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................          75          33
    ---------------------------------------------------------------------------

        The Vaccine improvement program was established pursuant to Public
    Law 99-660 and Public Law 100-203, and serves as a source of funds to
    pay claims for compensation for vaccine related injury or death. Payment
    of claims associated with vaccine related injury or death occurring
    before October 1, 1988 are financed from the General Fund and

    [[Page 440]]

    are reflected in this account. Given sufficient carry-over funds from
    prior years' appropriations to pay for the balance of the pre-1988
    backlog of claims yet to be adjudicated, no appropriation is requested
    in FY 2002 to cover payment of pre-1988 claims. Payment of claims
    associated with vaccine related injury or death occurring after October
    1, 1988 are reflected in the Vaccine improvement trust fund account.

                 Payment to the Ricky Ray Hemophilia Relief Fund

        [Sec. 150. There is hereby appropriated for payment to the Ricky Ray
    Hemophilia Relief Fund, as provided by Public Law 105-369, $105,000,000,
    of which notwithstanding any other provision of law $10,000,000 shall be
    for program management of the Health Resources and Services
    Administration, to remain available until expended.] (Division B,
    Miscellaneous Appropriations Act, 2001, as enacted by section 1(a)(4) of
    P.L. 106-554.)

        [Sec. 932. Appropriations for Ricky Ray Hemophilia Relief Fund.]

        [Section 101(e) of the Ricky Ray Hemophilia Relief Fund Act of 1998
    (42 U.S.C. 300c-22 note) is amended by adding at the end the following:
    ``There is appropriated to the Fund $475,000,000 for fiscal year 2001,
    to remain available until expended.''.] (Medicare, Medicaid, and SCHIP
    Benefits Improvement and Protection Act of 2000 (H.R. 5561), as enacted
    by section 1(a)(6) of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0355-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 92.0).....................                     580
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                     580
    23.95 Total new obligations.............                    -580
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                     580
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                     580
    73.20 Total outlays (gross).............                    -580
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                     580
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                     580
    90.00 Outlays...........................                     580
    ---------------------------------------------------------------------------

        The Ricky Ray hemophilia relief fund was established pursuant to
    Public Law 105-369 and serves as a source of funds to pay claims to
    eligible individuals on behalf of persons with HIV and a blood clotting
    disorder, who were treated with an anti-hemophiliac factor between July
    1982 and December 1987.

    Credit accounts:

                 Health Center Guaranteed Loan Financing Account

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4442-0-3-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Default claims....................           4
                                               ---------   ---------  ----------
    10.00   Total new obligations...........           4
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........           1                       1
    22.00 New financing authority (gross)...           4           1           1
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......           5           1           2
    23.95 Total new obligations.............          -4
    24.40 Unobligated balance carried
            forward, end of year............                       1           3
    ----------------------------------------------------------------------------

        New financing authority (gross), detail:
          Discretionary:

    68.00   Spending authority from
              offsetting collections
              (gross): (Federal sources:
              From program account).........           4           1           1
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............           4
    73.20 Total financing disbursements
            (gross).........................          -4
    87.00 Total financing disbursements
            (gross).........................           4
    ----------------------------------------------------------------------------

        Offsets:
          Against gross financing authority and
              financing disbursements:

    88.00   Offsetting collections (cash)
              from: Federal sources.........          -4          -1          -1
    ----------------------------------------------------------------------------

        Net financing authority and financing
            disbursements:
    89.00 Financing authority...............
    90.00 Financing disbursements...........                      -1          -1
    ---------------------------------------------------------------------------

                 Status of Guaranteed Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4442-0-3-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Position with respect to appropriations act
                    limitation on commitments:
    2111  Limitation on guaranteed loans
            made by private lenders.........           5          32          21
                                               ---------   ---------  ----------
    2150    Total guaranteed loan
              commitments...................           5          32          21
    2199  Guaranteed amount of guaranteed
            loan commitments................           4          26          17
    ----------------------------------------------------------------------------

        Cumulative balance of guaranteed loans
                    outstanding:
    2210  Outstanding, start of year........           4           5          37
    2231  Disbursements of new guaranteed
            loans...........................           5          32          21
    2251  Repayments and prepayments........
    2263  Adjustments: Terminations for
            default that result in claim
            payments........................          -4
                                               ---------   ---------  ----------
    2290    Outstanding, end of year........           5          37          58
    ----------------------------------------------------------------------------

        Memorandum:
    2299  Guaranteed amount of guaranteed
            loans outstanding, end of year..           4          31          49
    ---------------------------------------------------------------------------

        P.L. 104-299 and P.L. 104-208 authorize HRSA to guarantee up to $80
    million in private loans to health centers for the costs of developing
    and operating managed care networks or plans and for the construction,
    renovation and modernization of medical facilities. This program has
    used $13.7 million of its available $160 million in loan guarantee
    authority, HRSA plans to use approximately $53 million of the remaining
    existing loan guarantee limit over FY 2001 and FY 2002. As required by
    the Federal Credit Reform Act of 1990, this financing account records
    all cash flows to and from the Government resulting from the Health
    center loan guarantee program. The program account for this activity is
    displayed in the Health resources and services account (75-0350) as a
    line in the program and financing schedule.

                                 Balance Sheet (in millions of dollars)

    -----------------------------------------------------------------------------------------------
    Identification code   75-4442-0-3-551    1999 actual    2000 actual     2001 est.      2002 est.
    -----------------------------------------------------------------------------------------------
        ASSETS:
    1101  Federal assets: Fund balances with
            Treasury........................           1              1                            1
                                            ------------ --------------  ------------  -------------
    1999    Total assets....................           1              1                            1
        LIABILITIES:
    2204  Non-Federal liabilities:
            Liabilities for loan guarantees.           5              5             1              1
                                            ------------ --------------  ------------  -------------
    2999    Total liabilities...............           5              5             1              1
        NET POSITION:
    3300  Cumulative results of operations..                         -4            -1
                                            ------------ --------------  ------------  -------------

    [[Page 441]]

    3999    Total net position..............                         -4            -1
                                            ------------ --------------  ------------  -------------
    4999  Total liabilities and net position           5              1                            1
    -----------------------------------------------------------------------------------------------

                Health Education Assistance Loans Program Account

        Such sums as may be necessary to carry out the purpose of the
    program, as authorized by title VII of the Public Health Service Act, as
    amended. For administrative expenses to carry out the guaranteed loan
    program, including section 709 of the Public Health Service Act,
    [$3,679,000] $3,792.000. (Departments of Labor, Health and Human
    Services, and Education, and Related Agencies Appropriations Act, 2001,
    as enacted by section 1(a)(1) of P.L. 106-554.)

            General Fund Credit Receipt Accounts (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0340-0-1-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    0101  Health education assistance loans,
            downward reestimates of
            subsidies.......................                     136
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0340-0-1-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.07 Reestimates of loan guarantee
            subsidy.........................                       7
    00.08 Interest on reestimates of loan
            guarantee subsidy...............                       2
    00.09 Administrative expenses subject to
            limitation......................           4           4           4
                                               ---------   ---------  ----------
    10.00   Total new obligations...........           4          13           4
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......           4          13           4
    23.95 Total new obligations.............          -4         -13          -4
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................           4           4           4
          Mandatory:

    60.05   Appropriation (indefinite)......                       9
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................           4          13           4
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................           2           1
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................           2           1
    73.10 Total new obligations.............           4          13           4
    73.20 Total outlays (gross).............          -4         -14          -4
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.           1
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year           1
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................           3           4           4
    86.93 Outlays from discretionary
            balances........................           1           1
    86.97 Outlays from new mandatory
            authority.......................                       9
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........           4          14           4
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................           4          13           4
    90.00 Outlays...........................           4          14           4
    ---------------------------------------------------------------------------

    Summary of Loan Levels, Subsidy Budget Authority and Outlays by Program (in
                                millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0340-0-1-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Guaranteed loan subsidy budget authority:
    2330  Upward Reestimate.................                       9
    2330  Downward Reestimate...............                    -136
                                               ---------   ---------  ----------
    2339    Total subsidy budget authority..                    -127
        Guaranteed loan subsidy outlays:
    2340  Subsidy outlays--Upward
            Reestimates.....................                       9
    2340  Downward Reestimates..............                    -136
                                               ---------   ---------  ----------
    2349    Total subsidy outlays...........                    -127
    ----------------------------------------------------------------------------

        Administrative expense data:
    3510  Budget authority..................           4           4           4
    3580  Outlays from balances.............           1           1
    3590  Outlays from new authority........           3           4           4
    ---------------------------------------------------------------------------

        The Health education assistance loan (HEAL) program guarantees loans
    from private lenders to health professions students to help pay for the
    costs of their training. As required by the Federal Credit Reform Act of
    1990, this account records, for the HEAL program, the subsidy costs
    associated with HEAL loan guarantees committed in 1992 and beyond
    (including modifications of HEAL loan guarantees that resulted from
    obligations or commitments in any year), as well as administrative
    expenses of the program. The administrative expenses are estimated on a
    cash basis.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0340-0-1-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

    11.1    Personnel compensation: Full-
              time permanent................           2           2           2
    25.3    Purchases of goods and services
              from Government accounts......                       1           1
    41.0    Grants, subsidies, and
              contributions.................                       9
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..           2          12           3
    99.5  Below reporting threshold.........           2           1           1
                                               ---------   ---------  ----------
    99.9    Total new obligations...........           4          13           4
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0340-0-1-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    1001  Total compensable workyears: Full-
            time equivalent employment......          28          25          25
    ---------------------------------------------------------------------------

               Health Education Assistance Loans Financing Account

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4304-0-3-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Death and disability claims.......           1           1           2
    00.02 Default claims....................          15          27          31
                                               ---------   ---------  ----------
    00.91   Subtotal........................          16          28          33
    08.02 Obligations for downward
            reestimates.....................                      79
    08.04 Obligations for interest on the
            downward reestimate.............                      57
                                               ---------   ---------  ----------
    08.91   Subtotal........................                     136
                                               ---------   ---------  ----------
    10.00   Total new obligations...........          16         164          33
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........         295         301         174
    22.00 New financing authority (gross)...          22          37          37
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         317         338         211
    23.95 Total new obligations.............         -16        -164         -33
    24.40 Unobligated balance carried
            forward, end of year............         301         174         178
    ----------------------------------------------------------------------------

        New financing authority (gross), detail:
          Discretionary:

    68.00   Spending authority from
              offsetting collections
              (gross): Offsetting
              collections (cash)............          22          37          37
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............          16         164          33
    73.20 Total financing disbursements
            (gross).........................         -16        -164         -33
    87.00 Total financing disbursements
            (gross).........................          16         164          33
    ----------------------------------------------------------------------------

        Offsets:
          Against gross financing authority and
              financing disbursements:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............                      -9
    88.25     Interest on uninvested funds..         -20         -24         -32
    88.40     Recoveries of defaulted loans.          -2          -4          -5
                                               ---------   ---------  ----------

    [[Page 442]]

    88.90       Total, offsetting
                  collections (cash)........         -22         -37         -37
    ----------------------------------------------------------------------------

        Net financing authority and financing
            disbursements:
    89.00 Financing authority...............
    90.00 Financing disbursements...........          -6         127          -4
    ---------------------------------------------------------------------------

                 Status of Guaranteed Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4304-0-3-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Position with respect to appropriations act
                    limitation on commitments:
    2111  Limitation on guaranteed loans
            made by private lenders.........
                                               ---------   ---------  ----------
    2150    Total guaranteed loan
              commitments...................
    ----------------------------------------------------------------------------

        Cumulative balance of guaranteed loans
                    outstanding:
    2210  Outstanding, start of year........       1,551       1,535       1,507
          Adjustments:

    2261    Terminations for default that
              result in loans receivable....         -15         -27         -31
    2263    Terminations for default that
              result in claim payments......          -1          -1          -2
                                               ---------   ---------  ----------
    2290    Outstanding, end of year........       1,535       1,507       1,474
    ----------------------------------------------------------------------------

        Memorandum:
    2299  Guaranteed amount of guaranteed
            loans outstanding, end of year..       1,535       1,507       1,474
    ----------------------------------------------------------------------------

        Addendum:
          Cumulative balance of defaulted guaranteed
              loans that result in loans receivable:

    2310    Outstanding, start of year......          38          53          76
    2331    Disbursements for guaranteed
              loan claims...................          15          27          31
    2351    Repayments of loans receivable..                      -4          -5
                                               ---------   ---------  ----------
    2390      Outstanding, end of year......          53          76         102
    ---------------------------------------------------------------------------

        This account records all cash flows to and from the Government
    resulting from HEAL loan guarantees committed between 1992 and 1998.

                                 Balance Sheet (in millions of dollars)

    -----------------------------------------------------------------------------------------------
    Identification code   75-4304-0-3-552    1999 actual    2000 actual     2001 est.      2002 est.
    -----------------------------------------------------------------------------------------------
        ASSETS:
    1101  Federal assets: Fund balances with
            Treasury........................         295            301           174            178
          Non-Federal assets:

    1201    Investments in non-Federal
              securities, net...............          45             20            24             32
    1206    Receivables, net................           3              2             4              5
                                            ------------ --------------  ------------  -------------
    1999    Total assets....................         343            323           202            215
        LIABILITIES:
    2204  Non-Federal liabilities:
            Liabilities for loan guarantees.       1,551          1,535         1,507          1,474
                                            ------------ --------------  ------------  -------------
    2999    Total liabilities...............       1,551          1,535         1,507          1,474
        NET POSITION:
    3300  Cumulative results of operations..      -1,208         -1,212        -1,305         -1,259
                                            ------------ --------------  ------------  -------------
    3999    Total net position..............      -1,208         -1,212        -1,305         -1,259
                                            ------------ --------------  ------------  -------------
    4999  Total liabilities and net position         343            323           202            215
    -----------------------------------------------------------------------------------------------

              Health Education Assistance Loans Liquidating Account

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4305-0-3-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Death and disability claims.......           4           5           6
    00.02 Defaulted loans...................          21          18          16
    00.03 Debt collection...................           3           7           8
                                               ---------   ---------  ----------
    10.00   Total new obligations...........          28          30          30
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......          52          30          30
    22.40 Capital transfer to general fund..         -24
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          28          30          30
    23.95 Total new obligations.............         -28         -30         -30
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.05   Appropriation (indefinite)......          32          10          10
    69.00 Offsetting collections (cash).....          20          20          20
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................          52          30          30
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................          13          22
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................          13          22
    73.10 Total new obligations.............          28          30          30
    73.20 Total outlays (gross).............         -18         -52         -30
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.          22
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year          22
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................          18          30          30
    86.98 Outlays from mandatory balances...                      22
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........          18          52          30
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....         -20         -20         -20
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          32          10          10
    90.00 Outlays...........................          -2          32          10
    ---------------------------------------------------------------------------

                 Status of Guaranteed Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4305-0-3-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Cumulative balance of guaranteed loans
                    outstanding:
    2210  Outstanding, start of year........       1,338       1,267       1,176
    2251  Repayments and prepayments........         -64         -79         -86
          Adjustments:

    2261    Terminations for default that
              result in loans receivable....          -5          -9          -8
    2263    Terminations for default that
              result in claim payments......          -2          -3          -3
                                               ---------   ---------  ----------
    2290    Outstanding, end of year........       1,267       1,176       1,079
    ----------------------------------------------------------------------------

        Memorandum:
    2299  Guaranteed amount of guaranteed
            loans outstanding, end of year..       1,267       1,176       1,079
    ----------------------------------------------------------------------------

        Addendum:
          Cumulative balance of defaulted guaranteed
              loans that result in loans receivable:

    2310    Outstanding, start of year......         496         500         495
    2331    Disbursements for guaranteed
              loan claims...................          24          25          24
    2351    Repayments of loans receivable..         -14         -14         -14
    2361    Write-offs of loans receivable..         -16         -16         -16
    2364    Other adjustments, net..........          10
                                               ---------   ---------  ----------
    2390      Outstanding, end of year......         500         495         489
    ---------------------------------------------------------------------------
        Note.--Includes carryover commitments from prior years.
        Note.--The adjustment to loans receivable represents interest, which
    had not previously been reflected in cumulative outstanding balances.

    [[Page 443]]

        This account records all cash flows to and from the Government
    resulting from HEAL loan guarantees committed prior to 1992.

                            Statement of Operations (in millions of dollars)

    -----------------------------------------------------------------------------------------------
    Identification code   75-4305-0-3-552    1999 actual    2000 actual     2001 est.      2002 est.
    -----------------------------------------------------------------------------------------------
    0101  Revenue...........................          45             28            30             30
    0102  Expense...........................         -27            -28           -30            -30
                                            ------------ --------------  ------------  -------------
    0105  Net income or loss (-)............          18
    -----------------------------------------------------------------------------------------------

                                 Balance Sheet (in millions of dollars)

    -----------------------------------------------------------------------------------------------
    Identification code   75-4305-0-3-552    1999 actual    2000 actual     2001 est.      2002 est.
    -----------------------------------------------------------------------------------------------
        ASSETS:
          Net value of assets related to
              pre-1992 direct loans
              receivable and acquired
              defaulted guaranteed loans
              receivable:

    1701    Defaulted guaranteed loans,
              gross.........................         496            500           495            489
    1702    Interest receivable.............           6              6             6              6
                                            ------------ --------------  ------------  -------------
    1704      Defaulted guaranteed loans and
                interest receivable, net....         502            506           501            495
                                            ------------ --------------  ------------  -------------
    1799      Value of assets related to
                loan guarantees.............         502            506           501            495
    1801  Other Federal assets: Cash and
            other monetary assets...........          27             28            30             30
                                            ------------ --------------  ------------  -------------
    1999    Total assets....................         529            534           531            525
        LIABILITIES:
    2104  Federal liabilities: Resources
            payable to Treasury.............           2              2             3              3
    2201  Non-Federal liabilities: Accounts
            payable.........................          20             24            25             24
                                            ------------ --------------  ------------  -------------
    2999    Total liabilities...............          22             26            28             27
        NET POSITION:
    3300  Cumulative results of operations..         507            508           503            498
                                            ------------ --------------  ------------  -------------
    3999    Total net position..............         507            508           503            498
                                            ------------ --------------  ------------  -------------
    4999  Total liabilities and net position         529            534           531            525
    -----------------------------------------------------------------------------------------------

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4305-0-3-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    25.2  Other services....................           3           7           8
    42.0  Insurance claims and indemnities..          25          23          22
                                               ---------   ---------  ----------
    99.9    Total new obligations...........          28          30          30
    ---------------------------------------------------------------------------

                   Medical Facilities Guarantee and Loan Fund

                federal interest subsidies for medical facilities

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9931-0-3-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Operating expenses: Interest
            subsidies, private..............           1
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................           1
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........          48          51          53
    22.00 New budget authority (gross)......           6           5           4
    22.60 Portion applied to repay debt.....          -2          -3          -3
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          52          53          54
    23.95 Total new obligations.............          -1
    24.40 Unobligated balance carried
            forward, end of year............          51          53          54
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................           1
    69.00 Offsetting collections (cash).....           5           5           4
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................           6           5           4
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................          15          15          15
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................          15          15          15
    73.10 Total new obligations.............           1
    73.20 Total outlays (gross).............          -1
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.          15          15          15
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year          15          15          15
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................           1
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
              Non-Federal sources:
    88.40       Principal repaid on loans
                  not sold..................          -2          -2          -1
    88.40       Principal collections from
                  FFB.......................          -3          -3          -3
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........          -5          -5          -4
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................           1
    90.00 Outlays...........................          -4          -5          -4
    ---------------------------------------------------------------------------

                   Status of Direct Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9931-0-3-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Cumulative balance of direct loans
                    outstanding:
    1210  Outstanding, start of year........          15          11           3
    1251  Repayments: Repayments and
            prepayments.....................          -5          -8          -3
    1264  Write-offs for default: Accruals
            and adjustments, net............           1
                                               ---------   ---------  ----------
    1290    Outstanding, end of year........          11           3
    ---------------------------------------------------------------------------

                 Status of Guaranteed Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9931-0-3-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Cumulative balance of guaranteed loans
                    outstanding:
    2210  Outstanding, start of year........          45          24           3
    2251  Repayments and prepayments........         -21         -21          -3
                                               ---------   ---------  ----------
    2290    Outstanding, end of year........          24           3
    ----------------------------------------------------------------------------

        Memorandum:
    2299  Guaranteed amount of guaranteed
            loans outstanding, end of year..          24
    ---------------------------------------------------------------------------

        Title VII, part C of the Public Health Service Act established a
    revolving fund from which health professions schools could borrow in
    order to provide loans to their students.

        Public Law 89-751, the Allied Health Professions Personnel Training
    Act of 1966, amended the Public Health Service Act to authorize the
    Federal Government to pay the difference between the interest paid by
    students to the schools and the interest payable by the schools to the
    Government National Mortgage Association (GNMA) and the Treasury.

        Title VI and subsequently title XVI of the Public Health Service Act
    established a loan and loan guarantee fund for medical facilities with a
    maximum amount allowable for the Government's liability. Direct loans
    were made available for public facilities and guaranteed loans for
    private, nonprofit facilities. Funds under this authority were
    established in the amount of $50 million for use in fulfilling
    guarantees in event of default, $30 million as a revolving fund for
    direct loans and an amount for interest subsidy payments on guaranteed
    loans. Unobligated balances will be used to pay defaults and interest
    subsidy payments.

    [[Page 444]]

                                   Trust Funds

                 Vaccine Injury Compensation Program Trust Fund

        For payments from the Vaccine Injury Compensation Program Trust
    Fund, such sums as may be necessary for claims associated with vaccine-
    related injury or death with respect to vaccines administered after
    September 30, 1988, pursuant to subtitle 2 of title XXI of the Public
    Health Service Act, to remain available until expended: Provided, That
    for necessary administrative expenses, not to exceed $2,992,000 shall be
    available from the Trust Fund to the Secretary of Health and Human
    Services. (Departments of Labor, Health and Human Services, and
    Education, and Related Agencies Appropriations Act, 2001, as enacted by
    section 1(a)(1) of P.L. 106-554.)

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8175-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    01.99 Balance, start of year............       1,398       1,546       1,649
        Receipts:
    02.00 Deposits..........................         133         134         137
    02.40 Interest income...................          83          93         100
                                               ---------   ---------  ----------
    02.99   Total receipts and collections..         216         227         237
                                               ---------   ---------  ----------
    04.00 Total: Balances and collections...       1,614       1,773       1,886
        Appropriations:
    05.00 Vaccine injury compensation
            program trust fund..............         -68        -124        -125
                                               ---------   ---------  ----------
    05.99   Total appropriations............         -68        -124        -125
                                               ---------   ---------  ----------
    07.99 Balance, end of year..............       1,546       1,649       1,761
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8175-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Compensation: Claims for post--FY
            1989 injuries...................          58         114         115
          Administrative expenses:

    01.03   Claims processing (Claims Court)           3           3           3
    01.04   Claims processing (Public Health
              Service)......................           3           3           3
    01.05   Claims processing (Dept. of
              Justice)......................           4           4           4
                                               ---------   ---------  ----------
    01.91     Total, administrative expenses          10          10          10
                                               ---------   ---------  ----------
    10.00   Total new obligations...........          68         124         125
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........           1           1
    22.00 New budget authority (gross)......          68         124         125
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           1
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          70         125         125
    23.95 Total new obligations.............         -68        -124        -125
    24.40 Unobligated balance carried
            forward, end of year............           1
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.26   Appropriation (trust fund,
              definite).....................          10          10          10
          Mandatory:

    60.27   Appropriation (trust fund,
              indefinite)...................          58         114         115
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................          68         124         125
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................           1
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................           1
    73.10 Total new obligations.............          68         124         125
    73.20 Total outlays (gross).............         -68        -124        -125
    73.45 Recoveries of prior year
            obligations.....................          -1
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................          10          10          10
    86.97 Outlays from new mandatory
            authority.......................          58         114         115
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........          68         124         125
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          68         124         125
    90.00 Outlays...........................          68         124         125
    ----------------------------------------------------------------------------

        Memorandum (non-add) entries:
    92.01 Total investments, start of year:
            Federal securities: Par value...       1,431       1,577       1,680
    92.02 Total investments, end of year:
            Federal securities: Par value...       1,577       1,680       1,793
    ---------------------------------------------------------------------------

        The Vaccine improvement program was established pursuant to Public
    Law 99-660 and Public Law 100-203, and serves as a source of funds to
    pay claims for compensation for vaccine related injury or death. This
    account reflects payments for claims for vaccine related injury or death
    occurring after October 1, 1988.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8175-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    25.2  Other services....................           3           3           3
    25.3  Purchases of goods and services
            from Government accounts........           7           7           7
    42.0  Insurance claims and indemnities..          58         114         115
                                               ---------   ---------  ----------
    99.9    Total new obligations...........          68         124         125
    ---------------------------------------------------------------------------

                        Ricky Ray Hemophilia Relief Fund

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8074-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    01.99 Balance, start of year............
        Receipts:
    02.40 Payments from the general fund....          75         580
        Appropriations:
    05.00 Ricky Ray hemophilia relief fund..         -75        -580
                                               ---------   ---------  ----------
    05.99   Total appropriations............         -75        -580
                                               ---------   ---------  ----------
    07.99 Balance, end of year..............
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8074-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Compensation--claims..............          39         360         241
    00.02 Administrative expenses subject to
            limitation......................           5           4           3
                                               ---------   ---------  ----------
    10.00   Total new obligations...........          44         364         244
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........                      31         247
    22.00 New budget authority (gross)......          75         580
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          75         611         247
    23.95 Total new obligations.............         -44        -364        -244
    24.40 Unobligated balance carried
            forward, end of year............          31         247           3
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.26   Appropriation (trust fund,
              definite).....................          75
          Mandatory:

    60.27   Appropriation (trust fund,
              indefinite)...................                     580
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................          75         580
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................                      11
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................                      11
    73.10 Total new obligations.............          44         364         244
    73.20 Total outlays (gross).............         -33        -375        -244
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.          11
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year          11
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................          33
    86.93 Outlays from discretionary
            balances........................                      42
    86.97 Outlays from new mandatory
            authority.......................                     333

    [[Page 445]]

    86.98 Outlays from mandatory balances...                                 244
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........          33         375         244
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          75         580
    90.00 Outlays...........................          33         375         244
    ---------------------------------------------------------------------------

        The Ricky Ray hemophilia relief fund was established pursuant to
    Public Law 105-369 and serves as a source of funds to pay claims to
    eligible individuals on behalf of persons with HIV and a blood clotting
    disorder, who were treated with an anti-hemophiliac factor between July
    1982 and December 1987.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8074-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

    11.1    Personnel compensation: Full-
              time permanent................                       2           2
    25.2    Other services..................           5           1           1
    42.0    Insurance claims and indemnities          39         360         241
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..          44         363         244
    99.5  Below reporting threshold.........                       1
                                               ---------   ---------  ----------
    99.9    Total new obligations...........          44         364         244
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-8074-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    1001  Total compensable workyears: Full-
            time equivalent employment......                      22          22
    ---------------------------------------------------------------------------

                              INDIAN HEALTH SERVICE

                                  Federal Funds

    General and special funds:

                             Indian Health Services

        For expenses necessary to carry out the Act of August 5, 1954 (68
    Stat. 674), the Indian Self-Determination Act, the Indian Health Care
    Improvement Act, and titles II and III of the Public Health Service Act
    with respect to the Indian Health Service, [$2,240,658,000]
    $2,387,014,000, together with payments received during the fiscal year
    pursuant to 42 U.S.C. 238(b) for services furnished by the Indian Health
    Service: Provided, That funds made available to tribes and tribal
    organizations through contracts, grant agreements, or any other
    agreements or compacts authorized by the Indian Self-Determination and
    Education Assistance Act of 1975 (25 U.S.C. 450), shall be deemed to be
    obligated at the time of the grant or contract award and thereafter
    shall remain available to the tribe or tribal organization without
    fiscal year limitation: Provided further, That $15,000,000 shall remain
    available until expended, for the Indian Catastrophic Health Emergency
    Fund: Provided further, That [$431,756,000] $430,776,000 for contract
    medical care shall remain available for obligation until September 30,
    [2002] 2003: Provided further, That of the funds provided, up to
    $22,000,000 shall be used to carry out the loan repayment program under
    section 108 of the Indian Health Care Improvement Act: Provided further,
    That funds provided in this Act may be used for one-year contracts and
    grants which are to be performed in two fiscal years, so long as the
    total obligation is recorded in the year for which the funds are
    appropriated: Provided further, That the amounts collected by the
    Secretary of Health and Human Services under the authority of title IV
    of the Indian Health Care Improvement Act shall remain available until
    expended for the purpose of achieving compliance with the applicable
    conditions and requirements of titles XVIII and XIX of the Social
    Security Act (exclusive of planning, design, or construction of new
    facilities): Provided further, That funding contained herein, and in any
    earlier appropriations Acts for scholarship programs under the Indian
    Health Care Improvement Act (25 U.S.C. 1613) shall remain available for
    obligation until September 30, [2002] 2003: Provided further, That
    amounts received by tribes and tribal organizations under title IV of
    the Indian Health Care Improvement Act shall be reported and accounted
    for and available to the receiving tribes and tribal organizations until
    expended: Provided further, That, notwithstanding any other provision of
    law, of the amounts provided herein, not to exceed [$248,781,000]
    288,234,000 shall be for payments to tribes and tribal organizations for
    contract or grant support costs associated with contracts, grants, self-
    governance compacts or annual funding agreements between the Indian
    Health Service and a tribe or tribal organization pursuant to the Indian
    Self-Determination Act of 1975, as amended, prior to or during fiscal
    year [2001] 2002, of which [not to exceed $10,000,000 may be used] up to
    $40,000,000 is for such costs associated with the the Navajo Nation's
    new and expanded contracts, grants, self-governance compacts or annual
    funding agreements: Provided further, That funds available for the
    Indian Health Care Improvement Fund may be used, as needed, to carry out
    activities typically funded under the Indian Health Facilities account.
    (Department of the Interior and Related Agencies Appropriations Act,
    2001.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0390-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Clinical services...............       1,582       1,796       1,861
    00.02   Preventive health...............          92          96         100
    00.03   Urban health....................          28          30          30
    00.04   Indian health professions.......          16          31          31
    00.05   Tribal management...............           2           2           2
    00.06   Direct operations...............          51          53          65
    00.07   Self-governance.................           9          10          10
    00.08   Contract support costs..........         229         248         288
    00.09   Diabetes funds..................          30         100         100
    09.01 Reimbursable program..............         639         707         736
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       2,678       3,073       3,223
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........         115         179         179
    22.00 New budget authority (gross)......       2,743       3,073       3,223
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       2,858       3,252       3,402
    23.95 Total new obligations.............      -2,678      -3,073      -3,223
    23.98 Unobligated balance expiring or
            withdrawn.......................          -1
    24.40 Unobligated balance carried
            forward, end of year............         179         179         179
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................       2,079       2,271       2,387
    40.76   Reduction pursuant to P.L. 106-
              113...........................          -5
    40.77   Reduction pursuant to P.L. 106-
              554 (0.22 percent)............                      -5
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       2,074       2,266       2,387
          Mandatory:

    60.00   Appropriation...................                      70          70
    62.00   Transferred from HCFA for
              diabetes......................          30          30          30
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................          30         100         100
          Discretionary:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).         639         707         736
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       2,743       3,073       3,223
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         481         449         585
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         481         449         585
    73.10 Total new obligations.............       2,678       3,073       3,223
    73.20 Total outlays (gross).............      -2,701      -2,937      -3,230
    73.40 Adjustments in expired accounts
            (net)...........................         -10
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         449         585         577
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         449         585         577
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       2,236       2,451       2,573
    86.93 Outlays from discretionary
            balances........................         435         402         558
    86.97 Outlays from new mandatory
            authority.......................          23          78          78
    86.98 Outlays from mandatory balances...           7           6          21
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       2,701       2,937       3,230
    ----------------------------------------------------------------------------

    [[Page 446]]

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............        -338        -356        -372
    88.40     Non-Federal sources...........        -301        -351        -364
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........        -639        -707        -736
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       2,104       2,366       2,487
    90.00 Outlays...........................       2,062       2,230       2,494
    ---------------------------------------------------------------------------

        The Indian health services account provides medical care, public
    health services, and health professions training opportunities to
    American Indians and Alaska Natives. An estimated $1,642 million will be
    administered by tribal governments under self-determination contracts
    and self-governance compacts in FY 2002.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0390-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         290         309         331
    11.3      Other than full-time permanent          14          15          16
    11.5      Other personnel compensation..          27          29          31
                                               ---------   ---------  ----------
    11.9        Total personnel compensation         331         353         378
    12.1    Civilian personnel benefits.....          96         102         110
    13.0    Benefits for former personnel...           2           2           3
            Travel and transportation of
                persons:
    21.0      Travel and transportation of
                persons.....................          14          14          14
    21.0      Patient Travel................          15          15          15
    22.0    Transportation of things........          10          10          10
    23.1    Rental payments to GSA..........           2           2           2
    23.2    Rental payments to others.......           9           9           9
    23.3    Communications, utilities, and
              miscellaneous charges.........          18          18          18
    24.0    Printing and reproduction.......           1           1           1
    25.1    Advisory and assistance services           7           7           7
    25.2    Other services..................          56          91          91
    25.3    Purchases of goods and services
              from Government accounts......          34          33          33
    25.4    Operation and maintenance of
              facilities....................           1           4           5
    25.5    Research and development
              contracts.....................           1           1           1
    25.6    Medical care....................         189         230         230
    25.7    Operation and maintenance of
              equipment.....................           4           4           4
    25.8    Subsistence and support of
              persons.......................           2           3           2
    26.0    Supplies and materials..........          96          97          97
    31.0    Equipment.......................          14          14          14
    41.0    Grants, subsidies, and
              contributions.................       1,136       1,355       1,442
    42.0    Insurance claims and indemnities           1           1           1
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..       2,039       2,366       2,487
    99.0  Reimbursable obligations..........         639         707         736
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       2,678       3,073       3,223
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0390-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......       9,998      10,109      10,235
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......       3,403       3,403       3,403
    ---------------------------------------------------------------------------

                            Indian Health Facilities

        For construction, repair, maintenance, improvement, and equipment of
    health and related auxiliary facilities, including quarters for
    personnel; preparation of plans, specifications, and drawings;
    acquisition of sites, purchase and erection of modular buildings, and
    purchases of trailers; and for provision of domestic and community
    sanitation facilities for Indians, as authorized by section 7 of the Act
    of August 5, 1954 (42 U.S.C. 2004a), the Indian Self-Determination Act,
    and the Indian Health Care Improvement Act, and for expenses necessary
    to carry out such Acts and titles II and III of the Public Health
    Service Act with respect to environmental health and facilities support
    activities of the Indian Health Service, [$363,904,000] $319,795,000, to
    remain available until expended: Provided, That notwithstanding any
    other provision of law, funds appropriated for the planning, design,
    construction or renovation of health facilities for the benefit of an
    Indian tribe or tribes may be used to purchase land for sites to
    construct, improve, or enlarge health or related facilities: [Provided
    further, That from the funds appropriated herein, $5,000,000 shall be
    designated by the Indian Health Service as a contribution to the Yukon-
    Kuskokwim Health Corporation (YKHC) to start a priority project for the
    acquisition of land, planning, design and construction of 79 staff
    quarters at Bethel, Alaska, subject to a negotiated project agreement
    between the YKHC and the Indian Health Service: Provided further, That
    this project shall not be subject to the construction provisions of the
    Indian Self-Determination and Education Assistance Act and shall be
    removed from the Indian Health Service priority list upon completion:
    Provided further, That the Federal Government shall not be liable for
    any property damages or other construction claims that may arise from
    YKHC undertaking this project: Provided further, That the land shall be
    owned or leased by the YKHC and title to quarters shall remain vested
    with the YKHC: Provided further, That notwithstanding any provision of
    law governing Federal construction, $2,240,000 of the funds provided
    herein shall be provided to the Hopi Tribe to reduce the debt incurred
    by the Tribe in providing staff quarters to meet the housing needs
    associated with the new Hopi Health Center: Provided further, That
    $5,000,000 shall remain available until expended for the purpose of
    funding joint venture health care facility projects authorized under the
    Indian Health Care Improvement Act, as amended: Provided further, That
    priority, by rank order, shall be given to tribes with outpatient
    projects on the existing Indian Health Services priority list that have
    Service-approved planning documents, and can demonstrate by March 1,
    2001, the financial capability necessary to provide an appropriate
    facility: Provided further, That joint venture funds unallocated after
    March 1, 2001, shall be made available for joint venture projects on a
    competitive basis giving priority to tribes that currently have no
    existing Federally-owned health care facility, have planning documents
    meeting Indian Health Service requirements prepared for approval by the
    Service and can demonstrate the financial capability needed to provide
    an appropriate facility: Provided further, That the Indian Health
    Service shall request additional staffing, operation and maintenance
    funds for these facilities in future budget requests:] Provided further,
    That not to exceed $500,000 shall be used by the Indian Health Service
    to purchase TRANSAM equipment from the Department of Defense for
    distribution to the Indian Health Service and tribal facilities:
    Provided further, That not to exceed $500,000 shall be used by the
    Indian Health Service to obtain ambulances for the Indian Health Service
    and tribal facilities in conjunction with an existing interagency
    agreement between the Indian Health Service and the General Services
    Administration: Provided further, That not to exceed $500,000 shall be
    placed in a Demolition Fund, available until expended, to be used by the
    Indian Health Service for demolition of Federal buildings: [Provided
    further, That notwithstanding the provisions of title III, section 306,
    of the Indian Health Care Improvement Act (Public Law 94-437, as
    amended), construction contracts authorized under title I of the Indian
    Self-Determination and Education Assistance Act of 1975, as amended, may
    be used rather than grants to fund small ambulatory facility
    construction projects: Provided further, That if a contract is used, the
    IHS is authorized to improve municipal, private, or tribal lands, and
    that at no time, during construction or after completion of the project
    will the Federal Government have any rights or title to any real or
    personal property acquired as a part of the contract]. (Department of
    the Interior and Related Agencies Appropriations Act, 2001.)

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0391-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    01.99 Balance, start of year............

    [[Page 447]]

        Receipts:
    02.20 Rent and charges for quarters,
            Indian health service, HHS......           5           5           5
        Appropriations:
    05.00 Indian health facilities..........          -5          -5          -5
                                               ---------   ---------  ----------
    07.99 Balance, end of year..............
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0391-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Sanitation and health facilities         139         180         131
    00.02   Maintenance.....................          42          51          50
    00.03   Facilities and environmental
              health........................         112         121         127
    00.04   Equipment.......................          12          16          16
                                               ---------   ---------  ----------
    01.00     Total direct program..........         305         368         324
    09.01 Reimbursable program..............           7           4           4
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         312         372         328
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........          72          90          90
    22.00 New budget authority (gross)......         331         372         329
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         403         462         419
    23.95 Total new obligations.............        -312        -372        -328
    24.40 Unobligated balance carried
            forward, end of year............          90          90          90
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................         319         364         320
    40.76   Reduction pursuant to P.L. 106-
              113...........................          -2
    40.77   Reduction pursuant to P.L. 106-
              554 (0.22 percent)............                      -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         317         363         320
          Mandatory:

    60.25   Appropriation (special fund,
              indefinite)...................           5           5           5
          Discretionary:

    68.00   Spending authority from
              offsetting collections:
              Offsetting collections (cash).           9           4           4
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................         331         372         329
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         334         321         392
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         334         321         392
    73.10 Total new obligations.............         312         372         328
    73.20 Total outlays (gross).............        -325        -302        -343
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         321         392         378
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         321         392         378
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................         104         113         100
    86.93 Outlays from discretionary
            balances........................         217         184         238
    86.97 Outlays from new mandatory
            authority.......................           5           5           5
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         325         302         343
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........          -9          -4          -4
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         322         368         325
    90.00 Outlays...........................         317         298         339
    ---------------------------------------------------------------------------

        The Indian health facilities account supports construction, repair
    and improvement, equipment, and environmental health and facilities
    support for the Indian health services.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0391-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          45          49          53
    11.3      Other than full-time permanent           4           4           5
    11.5      Other personnel compensation..           1           1           1
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          50          54          59
    12.1    Civilian personnel benefits.....          13          15          15
    21.0    Travel and transportation of
              persons.......................           3           3           3
    22.0    Transportation of things........           2           2           2
    23.3    Communications, utilities, and
              miscellaneous charges.........          11          11          12
    25.1    Advisory and assistance services           1           1           1
    25.2    Other services..................         126         179         131
    25.3    Purchases of goods and services
              from Government accounts......           1           6           6
    25.4    Operation and maintenance of
              facilities....................           9           9           8
    25.7    Operation and maintenance of
              equipment.....................           2           3           2
    26.0    Supplies and materials..........           7           7           7
    31.0    Equipment.......................           8           8           8
    32.0    Land and structures.............           8           8           8
    41.0    Grants, subsidies, and
              contributions.................          58          56          56
    42.0    Insurance claims and indemnities           6           6           6
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..         305         368         324
    99.0  Reimbursable obligations..........           7           4           4
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         312         372         328
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0391-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    1001  Total compensable workyears: Full-
            time equivalent employment......       1,244       1,281       1,289
    ---------------------------------------------------------------------------

                Administrative Provisions, Indian Health Service

        Appropriations in this Act to the Indian Health Service shall be
    available for services as authorized by 5 U.S.C. 3109 but at rates not
    to exceed the per diem rate equivalent to the maximum rate payable for
    senior-level positions under 5 U.S.C. 5376; hire of passenger motor
    vehicles and aircraft; purchase of medical equipment; purchase of
    reprints; purchase, renovation and erection of modular buildings and
    renovation of existing facilities; payments for telephone service in
    private residences in the field, when authorized under regulations
    approved by the Secretary; and for uniforms or allowances therefore as
    authorized by 5 U.S.C. 5901-5902; and for expenses of attendance at
    meetings which are concerned with the functions or activities for which
    the appropriation is made or which will contribute to improved conduct,
    supervision, or management of those functions or activities: Provided,
    That in accordance with the provisions of the Indian Health Care
    Improvement Act, non-Indian patients may be extended health care at all
    tribally administered or Indian Health Service facilities, subject to
    charges, and the proceeds along with funds recovered under the Federal
    Medical Care Recovery Act (42 U.S.C. 2651-2653) shall be credited to the
    account of the facility providing the service and shall be available
    without fiscal year limitation: Provided further, That notwithstanding
    any other law or regulation, funds transferred from the Department of
    Housing and Urban Development to the Indian Health Service shall be
    administered under Public Law 86-121 (the Indian Sanitation Facilities
    Act) and Public Law 93-638, as amended: Provided further, That funds
    appropriated to the Indian Health Service in this Act, except those used
    for administrative and program direction purposes, shall not be subject
    to limitations directed at curtailing Federal travel and transportation:
    Provided further, That notwithstanding any other provision of law, funds
    previously or herein made available to a tribe or tribal organization
    through a contract, grant, or agreement authorized by title I or title
    III of the Indian Self-Determination and Education Assistance Act of
    1975 (25 U.S.C. 450), may be deobligated and reobligated to a self-
    determination contract under title I, or a self-governance agreement
    under title III of such Act and thereafter shall remain available to the
    tribe or tribal organization without fiscal year limitation: Provided
    further, That none of the funds made available to the Indian Health
    Service in this Act shall be used to implement the final rule published
    in the Federal Register on September 16, 1987, by the Department of
    Health and Human Services, relating to the eligibility for the health
    care services of the Indian Health Service until the Indian Health
    Service has submitted a budget request reflecting the increased costs
    associated with the proposed final rule, and such request has been
    included in an appropriations Act and enacted into law: Provided
    further,

    [[Page 448]]

    That funds made available in this Act are to be apportioned to the
    Indian Health Service as appropriated in this Act, and accounted for in
    the appropriation structure set forth in this Act: Provided further,
    That with respect to functions transferred by the Indian Health Service
    to tribes or tribal organizations, the Indian Health Service is
    authorized to provide goods and services to those entities, on a
    reimbursable basis, including payment in advance with subsequent
    adjustment, and the reimbursements received therefrom, along with the
    funds received from those entities pursuant to the Indian Self-
    Determination Act, may be credited to the same or subsequent
    appropriation account which provided the funding, said amounts to remain
    available until expended: Provided further, That reimbursements for
    training, technical assistance, or services provided by the Indian
    Health Service will contain total costs, including direct,
    administrative, and overhead associated with the provision of goods,
    services, or technical assistance: Provided further, That the
    appropriation structure for the Indian Health Service may not be altered
    without advance [approval of] notice submitted to the House and Senate
    Committees on Appropriations. (Department of the Interior and Related
    Agencies Appropriations Act, 2001.)

                   CENTERS FOR DISEASE CONTROL AND PREVENTION

                                  Federal Funds

    General and special funds:

                     Disease Control, Research, and Training

        To carry out titles II, III, VII, XI, XV, XVII, XIX and XXVI of the
    Public Health Service Act, sections 101, 102, 103, 201, 202, 203, 301,
    and 501 of the Federal Mine Safety and Health Act of 1977, sections 20,
    21, and 22 of the Occupational Safety and Health Act, of 1970, title IV
    of the Immigration and Nationality Act and section 501 of the Refugee
    Education Assistance Act of 1980; including insurance of official motor
    vehicles in foreign countries; and hire, maintenance, and operation of
    aircraft, [$3,868,027,000] $3,878,530,000, of which [$175,000,000]
    $150,000,000 shall remain available until expended for [the facilities
    master plan for] equipment and construction and renovation of
    facilities, and in addition, such sums as may be derived from authorized
    user fees, which shall be credited to this account, of which $52,000,000
    shall remain available until expended for the National Pharmaceutical
    Stockpile, and of which [$104,527,000] $116,527,000 for international
    HIV/AIDS programs shall remain available until September 30, [2002]
    2003: Provided, That in addition to amounts provided herein, up to
    [$71,690,000] $126,978,000 shall be available from amounts available
    under section 241 of the Public Health Service Act to carry out the
    National Center for Health Statistics Surveys: Provided further, That
    none of the funds made available for injury prevention and control at
    the Centers for Disease Control and Prevention may be used to advocate
    or promote gun control: Provided further, That the Director may redirect
    the total amount made available under authority of Public Law 101-502,
    section 3, dated November 3, 1990, to activities the Director may so
    designate: Provided further, That the Congress is to be notified
    promptly of any such transfer: Provided further, That not to exceed
    $10,000,000 may be available for making grants under section 1509 of the
    Public Health Service Act to not more than 15 States[: Provided further,
    That notwithstanding any other provision of law, a single contract or
    related contracts for development and construction of facilities may be
    employed which collectively include the full scope of the project:
    Provided further, That the solicitation and contract shall contain the
    clause ``availability of funds'' found at 48 CFR 52.232-18: Provided
    further, That funds obligated for influenza vaccine stockpile in fiscal
    year 2000 and fiscal year 2001 shall be considered as appropriated under
    Section 3 of Public Law 101-502]. (Departments of Labor, Health and
    Human Services, and Education, and Related Agencies Appropriations Act,
    2001, as enacted by section 1(a)(1) of P.L. 106-554.)

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0943-0-1-999      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    01.99 Balance, start of year............
        Receipts:
    02.20 Cooperative research and
            development agreements, Centers
            for Disease Contr...............           1           1           1
        Appropriations:
    05.00 Disease control, research, and
            training........................          -1          -1          -1
                                               ---------   ---------  ----------
    07.99 Balance, end of year..............
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0943-0-1-999      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Preventive health block grant...         135         176
    00.02   Prevention centers..............          18          23
    00.03   Sexually transmitted diseases...         136         148
    00.04   Immunization....................         491         530
    00.05   Infectious diseases.............         296         308
    00.06   Other chronic and environmental
              diseases......................         559         600
    00.07   Tobacco.........................          98         103
    00.08   Occupational safety and health..         215         119
    00.10   Epidemic services...............         104         175
    00.11   Health statistics...............          33          26
    00.12   HIV.............................         706         767
    00.13   Prevention research.............          15          14
    00.14   Buildings and facilities........          74         175
    00.15   Office of the director..........          38
    00.16   Violent crime reduction programs          50
    00.17   Eliminating racial and ethnic
              disparities...................          29          35
    00.18   Program administration..........                     667
    00.19   Birth defects/developmental
              disabilities/disability &
              health........................                                  76
    00.20   Chronic disease prev & health
              promotion.....................                                 575
    00.21   Environmental health............                                 137
    00.22   Epidemic services and response..                                  80
    00.24   HIV/AIDS, STD and TB prevention.                               1,069
    00.25   Immunization....................                                 575
    00.26   Infectious disease control......                                 332
    00.27   Injury prevention and control...                                 144
    00.28   Occupational safety and health..                                 266
    00.29   Preventive health & heath
              service block grant...........                                 135
    00.30   Public health improvement.......                                 109
    00.31   Building and facilities.........                                 150
    00.32   Office of the Director..........                                  49
    00.33   Bioterrorism....................                                 182
    09.01 Reimbursable program..............         202         205         240
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       3,199       4,071       4,119
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........          43          26          39
    22.00 New budget authority (gross)......       3,183       4,085       4,123
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       3,226       4,111       4,162
    23.95 Total new obligations.............      -3,199      -4,071      -4,119
    23.98 Unobligated balance expiring or
            withdrawn.......................          -1          -1
    24.40 Unobligated balance carried
            forward, end of year............          26          39          43
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................       2,923       3,868       3,879
    40.75   Reduction pursuant to P.L. 106-
              554 (Labor/HHS)...............                      -2
    40.76   Reduction pursuant to P.L. 106-
              113...........................         -19
    42.00   Transferred from other accounts.          73
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       2,977       3,866       3,879
          Mandatory:

    60.25   Appropriation (special fund,
              indefinite)...................           1           1           1
    62.00   Transferred from other accounts.           3          13           3
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................           4          14           4
          Spending authority from offsetting
              collections:

            Discretionary:
    68.00     Offsetting collections (cash).         130         205         240
    68.10     Change in uncollected customer
                payments from Federal
                sources.....................          51
    68.15     Adjustments to uncollected
                customer payments from
                Federal sources.............          21
                                               ---------   ---------  ----------
    68.90       Spending authority from
                  offsetting collections
                  (total discretionary).....         202         205         240
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       3,183       4,085       4,123
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................       2,335       2,836       3,532

    [[Page 449]]

    72.95   Uncollected customer payments
              from Federal sources, start of
              year..........................        -112        -163        -163
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................       2,223       2,673       3,369
    73.10 Total new obligations.............       3,199       4,071       4,119
    73.20 Total outlays (gross).............      -2,662      -3,377      -3,907
    73.40 Adjustments in expired accounts
            (net)...........................         -36
    74.00 Change in uncollected customer
            payments from Federal sources...         -51
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.       2,836       3,532       3,744
    74.95   Uncollected customer payments
              from Federal sources, end of
              year..........................        -163        -163        -163
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year       2,673       3,369       3,581
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       1,247       1,558       1,598
    86.93 Outlays from discretionary
            balances........................       1,409       1,813       2,301
    86.97 Outlays from new mandatory
            authority.......................           4           6           2
    86.98 Outlays from mandatory balances...           2                       6
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       2,662       3,377       3,907
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............        -129        -204        -239
    88.40     Non-Federal sources...........          -1          -1          -1
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........        -130        -205        -240
          Against gross budget authority only:

    88.95   Change in uncollected customer
              payments from Federal sources.         -51
    88.96   Adjustment to uncollected
              customer payments from Federal
              sources.......................         -21
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       2,981       3,880       3,883
    90.00 Outlays...........................       2,531       3,172       3,667
    ---------------------------------------------------------------------------

                              [Dollars in millions]

                                            2000         2001        2002
    Distribution of budget authority by
        account:
      Disease control, research and
        training........................       2,931       3,880       3,883
      Violent crime reduction programs..          50           0           0
    Distribution of outlays by account:
      Disease control, research and
        training........................       2,509       3,163       3,665
      Violent crime reduction programs..          22           9           2

                 Comparable BA by Activity (dollars in millions)

                                            2000         2001        2002
    Birth Defects/Developmental/
    Disabilities/Disability & Health....          50          71          76
    HIV/AIDS, STD, TB...................         854       1,045       1,069
    HIV/AIDS (non-add)..................         687         849         872
    Immunization........................         475         552         575
    Infectious Disease Control..........         254         318         332
    Environmental Health................          88         137         137
    Chronic Disease/Health Promotion....         531         750         575
    Preventive Health Block Grant.......         135         135         135
    Occupational Safety and Health......         226         260         266
    Injury Prevention...................         132         143         144
    Health Statistics BA................          40          50           0
      Program Level.....................         112         122         127
    Epidemic Services...................          69          78          80
    Public Health Improvement...........          92         110         109
    Buildings and Facilities............          57         175         150
    Bioterrorism........................         153         181         182
    Office of the Director..............          39          42          49
                                        ------------------------------------
    Total...............................       3,195       4,047       3,879
                                        ====================================

        The Centers for Disease Control and Prevention (CDC) supports a
    number of categorical programs including grants for immunizations,
    control of sexually transmitted diseases, HIV prevention, and control of
    other infectious and chronic diseases. CDC also supports the Preventive
    health block grant.

        For FY 2002, CDC has modified and consolidated several budget
    categories to simplify its budget, and move towards budgeting its
    activities by Center. The new budget categories will continue to
    represent the total costs of a program, including both administrative
    costs and CDC's centralized services.

        This display also includes amounts derived from the Violent crime
    reduction trust fund in FY 2000. In FY 2001 and FY 2002, the activities
    formerly supported by the trust fund are funded through the relevant
    program activity lines (preventive health block grant, injury control).

        The FY 2002 display also includes CDC bioterrorism funding ($182
    million), which was previously included in the Public Health and Social
    Services Emergency Fund in FY 2000 and FY 2001.

        The Healthy Communities Innovation Fund Initiative makes available
    approximately $180 million in Centers for Disease Control and
    Prevention's existing grant activities to address health care issues at
    the State and local level in innovative ways. Funding is also available
    for the Innovation Fund in the Health Resources and Services
    Administration and Health Care Financing Administration.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0943-0-1-999      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         320         352         390
    11.3      Other than full-time permanent          30          33          34
    11.5      Other personnel compensation..          18          19          21
    11.8      Special personal services
                payments....................           1           1           1
                                               ---------   ---------  ----------
    11.9        Total personnel compensation         369         405         446
    12.1    Civilian personnel benefits.....         107         118         124
    21.0    Travel and transportation of
              persons.......................          30          36          36
    22.0    Transportation of things........           5           6           6
    23.1    Rental payments to GSA..........          24          34          37
    23.2    Rental payments to others.......           2           8           8
    23.3    Communications, utilities, and
              miscellaneous charges.........          21          27          27
    24.0    Printing and reproduction.......           5           6           6
    25.1    Advisory and assistance services          82         112          29
    25.2    Other services..................          63          69          62
    25.3    Purchases of goods and services
              from Government accounts......         115         121          93
    25.4    Operation and maintenance of
              facilities....................          31          35          35
    25.5    Research and development
              contracts.....................         126         185         167
    25.6    Medical care....................           2           4           4
    25.7    Operation and maintenance of
              equipment.....................          10          15          15
    25.8    Subsistence and support of
              persons.......................           1           1           1
    26.0    Supplies and materials..........          24          33          33
    31.0    Equipment.......................          54          63          61
    32.0    Land and structures.............          58         171         146
    41.0    Grants, subsidies, and
              contributions.................       1,867       2,416       2,542
    42.0    Insurance claims and indemnities           1           1           1
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..       2,997       3,866       3,879
    99.0  Reimbursable obligations..........         202         205         240
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       3,199       4,071       4,119
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0943-0-1-999      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......       6,562       6,892       7,162
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......         654         669         673
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......         643         174
    ---------------------------------------------------------------------------

                Agency for Toxic Substances and Disease Registry

                              salaries and expenses

        For necessary expenses for the Agency for Toxic Substances and
    Disease Registry (ATSDR) in carrying out activities set forth in
    sections 104(i), 111(c)(4), and 111(c)(14) of the Comprehensive
    Environmental Response, Compensation, and Liability Act of 1980
    (CERCLA), as amended; section 118(f) of the Superfund Amendments and
    Reauthorization Act of 1986 (SARA), as amended; and section 3019 of the
    Solid Waste Disposal Act, as amended, [$75,000,000] $78,235,000, to be
    derived from the Hazardous Substance Superfund Trust Fund pursuant to
    section 517(a) of SARA (26 U.S.C. 9507):

    [[Page 450]]

    Provided, That not withstanding any other provision of law, in lieu of
    performing a health assessment under section 104(i)(6) of CERCLA, the
    Administrator of ATSDR may conduct other appropriate health studies,
    evaluations, or activities, including, without limitation, biomedical
    testing, clinical evaluations, medical monitoring, and referral to
    accredited health care providers: Provided further, That in performing
    any such health assessment or health study, evaluation, or activity, the
    Administrator of ATSDR shall not be bound by the deadlines in section
    104(i)(6)(A) of CERCLA: Provided further, That none of the funds
    appropriated under this heading shall be available for the Agency for
    Toxic Substances and Disease Registry to issue in excess of 40
    toxicological profiles pursuant to section 104(i) of CERCLA during
    fiscal year [2001] 2002, and existing profiles may be updated as
    necessary. (Departments of Veterans Affairs and Housing and Urban
    Development, and Independent Agencies Appropriations Act, 2001, as
    enacted by section 1(a)(1) of P.L. 106-377.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8252-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Direct program....................                      75          78
    09.01 Reimbursable program..............                      25          26
                                               ---------   ---------  ----------
    10.00   Total new obligations...........                     100         104
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                     100         104
    23.95 Total new obligations.............                    -100        -104
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.26   Appropriation (trust fund,
              definite).....................                      75          78
    68.00 Spending authority from offsetting
            collections: Offsetting
            collections (cash)..............                      25          26
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................                     100         104
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................                                  49
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................                                  49
    73.10 Total new obligations.............                     100         104
    73.20 Total outlays (gross).............                     -51         -85
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.                      49          68
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year                      49          68
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................                      51          53
    86.93 Outlays from discretionary
            balances........................                                  32
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........                      51          85
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........                     -25         -26
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                      75          78
    90.00 Outlays...........................                      26          59
    ---------------------------------------------------------------------------

        The Agency for Toxic Substances and Disease Registry (ATSDR) was
    previously funded through a transfer from the EPA Superfund. In FY 2001,
    funds were directly appropriated to ATSDR in the VA/HUD appropriations
    bill, but still financed through the Superfund. The FY 2002 Budget
    maintains this separate account structure for ATSDR.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8252-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........                      21          22
    11.3      Other than full-time permanent                       1           1
    11.5      Other personnel compensation..                       1           1
                                               ---------   ---------  ----------
    11.9        Total personnel compensation                      23          24
    12.1    Civilian personnel benefits.....                       6           6
    21.0    Travel and transportation of
              persons.......................                       2           2
    23.3    Communications, utilities, and
              miscellaneous charges.........                       1           1
    25.1    Advisory and assistance services                       4           4
    25.2    Other services..................                       2           2
    25.3    Purchases of goods and services
              from Government accounts......                       8           8
    25.5    Research and development
              contracts.....................                       6           8
    31.0    Equipment.......................                       2           2
    41.0    Grants, subsidies, and
              contributions.................                      21          21
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..                      75          78
    99.0  Reimbursable obligations..........                      25          26
                                               ---------   ---------  ----------
    99.9    Total new obligations...........                     100         104
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-8252-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......                     351         352
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......                      76          77
    ---------------------------------------------------------------------------

                    Allocations Received From Other Accounts

        Note.--Obligations incurred in FY 2000 under allocations from other
    accounts are included in the schedules of the parent appropriation as
    follows:
        Environmental Protection Agency: ``Hazardous substance response
    trust fund.''

                          NATIONAL INSTITUTES OF HEALTH

                                  Federal Funds

    General and special funds:

                            National Cancer Institute

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to cancer, [$3,757,242,000] $4,177,203,000.
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)

                    National Heart, Lung, and Blood Institute

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to cardiovascular, lung, and blood diseases,
    and blood and blood products, [$2,299,866,000] $2,567,429,000.
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)

             National Institute of Dental and Craniofacial Research

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to dental disease, [$306,448,000] $341,898,000.
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)

        National Institute of Diabetes and Digestive and Kidney Diseases

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to diabetes and digestive and kidney disease,
    [$1,303,385,000] $1,457,915,000. (Departments of Labor, Health and Human
    Services, and Education, and Related Agencies Appropriations Act, 2001,
    as enacted by section 1(a)(1) of P.L. 106-554.)

             National Institute of Neurological Disorders and Stroke

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to neurological disorders and stroke,
    [$1,176,482,000] $1,316,448,000. (Departments of Labor, Health and Human
    Services, and Education, and Related Agencies Appropriations Act, 2001,
    as enacted by section 1(a)(1) of P.L. 106-554.)

    [[Page 451]]

              National Institute of Allergy and Infectious Diseases

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to allergy and infectious diseases,
    [$2,043,208,000] $2,355,325,000. (Departments of Labor, Health and Human
    Services, and Education, and Related Agencies Appropriations Act, 2001,
    as enacted by section 1(a)(1) of P.L. 106-554.)

                 National Institute of General Medical Sciences

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to general medical sciences, [$1,535,823,000]
    $1,720,206,000. (Departments of Labor, Health and Human Services, and
    Education, and Related Agencies Appropriations Act, 2001, as enacted by
    section 1(a)(1) of P.L. 106-554.)

            National Institute of Child Health and Human Development

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to child health and human development,
    [$976,455,000] $1,096,650,000. (Departments of Labor, Health and Human
    Services, and Education, and Related Agencies Appropriations Act, 2001,
    as enacted by section 1(a)(1) of P.L. 106-554.)

                             National Eye Institute

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to eye diseases and visual disorders,
    [$510,611,000] $571,126,000. (Departments of Labor, Health and Human
    Services, and Education, and Related Agencies Appropriations Act, 2001,
    as enacted by section 1(a)(1) of P.L. 106-554.)

               National Institute of Environmental Health Sciences

        For carrying out sections 301 and 311 and title IV of the Public
    Health Service Act with respect to environmental health sciences,
    [$502,549,000] $561,750,000. (Departments of Labor, Health and Human
    Services, and Education, and Related Agencies Appropriations Act, 2001,
    as enacted by section 1(a)(1) of P.L. 106-554.)
        For necessary expenses for the National Institute of Environmental
    Health Sciences in carrying out activities set forth in section 311(a)
    of the Comprehensive Environmental Response, Compensation, and Liability
    Act of 1980, as amended, [$63,000,000] $70,228,000. (Departments of
    Veterans Affairs and Housing and Urban Development, and Independent
    Agencies Appropriations Act, 2001, as enacted by section 1(a)(1) of P.L.
    106-377.)

                           National Institute on Aging

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to aging, [$786,039,000] $879,961,000.
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)

      National Institute of Arthritis and Musculoskeletal and Skin Diseases

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to arthritis and musculoskeletal and skin
    diseases, [$396,687,000] $443,565,000. (Departments of Labor, Health and
    Human Services, and Education, and Related Agencies Appropriations Act,
    2001, as enacted by section 1(a)(1) of P.L. 106-554.)

        National Institute on Deafness and Other Communication Disorders

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to deafness and other communication disorders,
    [$300,581,000] $336,757,000. (Departments of Labor, Health and Human
    Services, and Education, and Related Agencies Appropriations Act, 2001,
    as enacted by section 1(a)(1) of P.L. 106-554.)

                     National Institute of Nursing Research

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to nursing research, [$104,370,000]
    $117,686,000. (Departments of Labor, Health and Human Services, and
    Education, and Related Agencies Appropriations Act, 2001, as enacted by
    section 1(a)(1) of P.L. 106-554.)

               National Institute on Alcohol Abuse and Alcoholism

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to alcohol abuse and alcoholism, [$340,678,000]
    $381,966,000. (Departments of Labor, Health and Human Services, and
    Education, and Related Agencies Appropriations Act, 2001, as enacted by
    section 1(a)(1) of P.L. 106-554.)

                        National Institute on Drug Abuse

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to drug abuse, [$781,327,000] $907,369,000.
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)

                       National Institute of Mental Health

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to mental health, [$1,107,028,000]
    $1,238,305,000. (Departments of Labor, Health and Human Services, and
    Education, and Related Agencies Appropriations Act, 2001, as enacted by
    section 1(a)(1) of P.L. 106-554.)

                    National Human Genome Research Institute

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to human genome research, [$382,384,000]
    $426,739,000. (Departments of Labor, Health and Human Services, and
    Education, and Related Agencies Appropriations Act, 2001, as enacted by
    section 1(a)(1) of P.L. 106-554.)

          National Institute for Biomedical Imaging and Bioengineering

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to biomedical imaging and bioengineering
    research, $40,206,000.

                     National Center for Research Resources

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to research resources and general research
    support grants, [$817,475,000] $974,038,000: Provided, That none of
    these funds shall be used to pay recipients of the general research
    support grants program any amount for indirect expenses in connection
    with such grants: Provided further, That [$75,000,000] $97,000,000 shall
    be for extramural facilities construction grants. (Departments of Labor,
    Health and Human Services, and Education, and Related Agencies
    Appropriations Act, 2001, as enacted by section 1(a)(1) of P.L. 106-
    554.)

           National Center for Complementary and Alternative Medicine

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to complementary and alternative medicine,
    [$89,211,000] $100,063,000. (Departments of Labor, Health and Human
    Services, and Education, and Related Agencies Appropriations Act, 2001,
    as enacted by section 1(a)(1) of P.L. 106-554.)

            National Center on Minority Health and Health Disparties

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to minority health and health disparities
    research, [$130,200,000] $158,425,000. (Departments of Labor, Health and
    Human Services, and Education, and Related Agencies Appropriations Act,
    2001, as enacted by section 1(a)(1) of P.L. 106-554.)

                      John E. Fogarty International Center

        For carrying out the activities at the John E. Fogarty International
    Center, [$50,514,000] $56,449,000. (Departments of Labor, Health and
    Human Services, and Education, and Related Agencies Appropriations Act,
    2001, as enacted by section 1(a)(1) of P.L. 106-554.)

                          National Library of Medicine

        For carrying out section 301 and title IV of the Public Health
    Service Act with respect to health information communications,
    [$246,801,000] $275,725,000, of which $4,000,000 shall be available
    until expended for improvement of information systems: Provided, That in
    fiscal year 2001, the Library may enter into personal services contracts
    for the provision of services in facilities owned, operated, or
    constructed under the jurisdiction of the National Institutes of Health.
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)

                             Office of the Director

                          (including transfer of funds)

        For carrying out the responsibilities of the Office of the Director,
    National Institutes of Health, [$213,581,000] $232,098,000, of which
    [$48,271,000] $53,540,000 shall be for the Office of AIDS Research:

    [[Page 452]]

    Provided, That funding shall be available for the purchase of not to
    exceed [20] 29 passenger motor vehicles for replacement only: Provided
    further, That the Director may direct up to 1 percent of the total
    amount made available in this or any other Act to all National
    Institutes of Health appropriations to activities the Director may so
    designate: Provided further, That no such appropriation shall be
    decreased by more than 1 percent by any such transfers and that the
    Congress is promptly notified of the transfer: Provided further, That
    the National Institutes of Health is authorized to collect third party
    payments for the cost of clinical services that are incurred in National
    Institutes of Health research facilities and that such payments shall be
    credited to the National Institutes of Health Management Fund: Provided
    further, That all funds credited to the National Institutes of Health
    Management Fund shall remain available for one fiscal year after the
    fiscal year in which they are deposited[: Provided further, That up to
    $500,000 shall be available to carry out section 499 of the Public
    Health Service Act: Provided further, That, notwithstanding section
    499(k)(10) of the Public Health Service Act, funds from the Foundation
    for the National Institutes of Health may be transferred to the National
    Institutes of Health]. (Departments of Labor, Health and Human Services,
    and Education, and Related Agencies Appropriations Act, 2001, as enacted
    by section 1(a)(1) of P.L. 106-554.)

                            buildings and facilities

        For the study of, construction of, and acquisition of equipment for,
    facilities of or used by the National Institutes of Health, including
    the acquisition of real property, [$153,790,000] $306,600,000, to remain
    available until expended, of which [$47,300,000] $26,000,000 shall be
    for the [National] John Edward Porter Neuroscience Research Center[:
    Provided, That notwithstanding any other provision of law, a single
    contract or related contracts for the development and construction of
    the first phase of the National Neuroscience Research Center may be
    employed which collectively include the full scope of the project:
    Provided further, That the solicitation and contract shall contain the
    clause ``availability of funds'' found at 48 CFR 52.232-18] and
    $53,000,000 for the animal vivarium. (Departments of Labor, Health and
    Human Services, and Education, and Related Agencies Appropriations Act,
    2001, as enacted by section 1(a)(1) of P.L. 106-554.)

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9915-0-1-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    01.99 Balance, start of year............
        Receipts:
    02.20 Cooperative research and
            development agreements, NIH.....          10          10          10
        Appropriations:
    05.00 National Institutes of Health.....         -10         -10         -10
                                               ---------   ---------  ----------
    07.99 Balance, end of year..............
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9915-0-1-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   National Cancer Institute.......       3,315       3,754       4,177
    00.02   National Heart, Lung, and Blood
              Institute.....................       2,027       2,299       2,567
    00.03   National Institute of Dental and
              Craniofacial Research.........         268         306         342
    00.04   National Institute of Diabetes
              and Digestive and Kidney
              Disease.......................       1,167       1,400       1,555
    00.05   National Institute of
              Neurological Disorders and
              Stroke........................       1,028       1,176       1,316
    00.06   National Institute of Allergy
              and Infectious Diseases.......       1,777       2,042       2,355
    00.07   National Institute of General
              Medical Sciences..............       1,367       1,535       1,720
    00.08   National Institute of Child
              Health and Human Development..         857         976       1,097
    00.09   National Eye Institute..........         450         510         571
    00.10   National Institute of
              Environmental Health Sciences.         442         565         632
    00.11   National Institute on Aging.....         686         786         880
    00.12   National Institute of Arthritis
              and Musculoskeletal and Skin
              Disease.......................         349         397         444
    00.13   National Institute on Deafness
              and Other Communication
              Disorder......................         264         300         337
    00.14   National Institute of Mental
              Health........................         972       1,106       1,238
    00.15   National Institute on Drug Abuse         695         781         907
    00.16   Natinal Institute on Alcohol
              Abuse and Alcoholism..........         292         340         382
    00.17   National Institute of Nursing
              Research......................          89         104         118
    00.18   National Human Genome Research
              Institute.....................         335         382         427
    00.19   National Institute of Biomedical
              Imaging and Bioengineering....                                  40
    00.20   National Center for Research
              Resources.....................         676         817         974
    00.21   National Center for
              Complementary and Alternative
              Medicine......................          78          89         100
    00.22   National Center on Minority
              Health and Health Disparities.                     130         158
    00.23   John E. Fogarty International
              Center........................          43          51          57
    00.24   National Library of Medicine....         214         246         276
    00.25   Office of the Director..........         282         212         232
    00.26   Buildings and Facilities........         141         154         307
    00.27   Cooperative Research and
              Development Agreements........          12          12          12
    00.28   Royalities......................          52
    09.00 Reimbursable program..............       1,122       1,339       1,453
                                               ---------   ---------  ----------
    10.00   Total new obligations...........      19,000      21,809      24,674
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........         161         173         170
    22.00 New budget authority (gross)......      19,016      21,807      24,672
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......      19,177      21,980      24,842
    23.95 Total new obligations.............     -19,000     -21,809     -24,674
    23.98 Unobligated balance expiring or
            withdrawn.......................          -4
    24.40 Unobligated balance carried
            forward, end of year............         173         170         168
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................      17,913      20,376      23,112
    40.75   Reduction pursuant to P.L. 106-
              554 (Labor/HHS)...............                      -9
    40.76   Reduction pursuant to P.L. 106-
              113...........................        -100
    41.00   Transferred to other accounts...         -23          -6
    42.00   Transferred from other accounts.          10
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............      17,800      20,361      23,112
          Mandatory:

    60.00   Appropriation...................                      70          70
    60.25   Appropriation (special fund,
              indefinite)...................          10          10          10
    62.00   Transferred from other accounts.          27          27          27
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................          37         107         107
          Spending authority from offsetting
              collections:

            Discretionary:
    68.00     Offsetting collections (cash).       1,368       1,339       1,453
    68.10     Change in uncollected customer
                payments from Federal
                sources.....................        -246
    68.15     Adjustments to uncollected
                customer payments from
                Federal sources.............          57
                                               ---------   ---------  ----------
    68.90       Spending authority from
                  offsetting collections
                  (total discretionary).....       1,179       1,339       1,453
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................      19,016      21,807      24,672
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................      14,630      16,684      19,300
    72.95   Uncollected customer payments
              from Federal sources, start of
              year..........................        -732        -486        -486
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................      13,898      16,198      18,814
    73.10 Total new obligations.............      19,000      21,809      24,674
    73.20 Total outlays (gross).............     -16,783     -19,193     -22,135
    73.40 Adjustments in expired accounts
            (net)...........................          83
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.      16,684      19,300      21,839
    74.95   Uncollected customer payments
              from Federal sources, end of
              year..........................        -486        -486        -486
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year      16,198      18,814      21,353
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       6,449       6,911       7,843
    86.93 Outlays from discretionary
            balances........................      10,292      12,237      14,215
    86.97 Outlays from new mandatory
            authority.......................          35          15          15
    86.98 Outlays from mandatory balances...           7          30          62
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........      16,783      19,193      22,135
    ----------------------------------------------------------------------------

    [[Page 453]]

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........      -1,368      -1,339      -1,453
          Against gross budget authority only:

    88.95   Change in uncollected customer
              payments from Federal sources.         246
    88.96   Adjustment to uncollected
              customer payments from Federal
              sources.......................         -57
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................      17,837      20,468      23,219
    90.00 Outlays...........................      15,415      17,854      20,682
    ---------------------------------------------------------------------------

                              [Dollars in millions]

                                            2000         2001        2002
    Distribution of budget authority by
        account:
      National Cancer Institute.........       3,311       3,755       4,177
      National Heart, Lung, and Blood
        Institute.......................       2,027       2,299       2,567
      National Institute of Dental and
        Craniofacial Research...........         269         306         342
      National Institute of Diabetes and
        Digestive and Kidney Diseases...       1,167       1,400       1,555
      National Institute of Neurological
        Disorder and Stroke.............       1,028       1,176       1,316
      National Institute of Allergy and
        Infectious Diseases.............       1,777       2,042       2,355
      National Institute of General
        Medical Sciences................       1,367       1,535       1,720
      National Institute of Child Health
        and Human Development...........         857         976       1,097
      National Eye Institute............         450         510         571
      National Institute of
        Environmental Health Sciences...         442         565         632
      National Institute on Aging.......         686         786         880
      National Institute of Arthritis
        and Musculoskeletal and Skin
        Diseases........................         350         396         444
      National Institute on Deafness and
        Other Communication Disorders...         264         300         337
      National Institute of Nursing
        Research........................          89         104         118
      National Institute on Alcohol
        Abuse and Alcoholism............         292         340         382
      National Institute on Drug Abuse..         695         781         907
      National Institute of Mental
        Health..........................         972       1,106       1,238
      National Center for Research
        Resources.......................         676         817         974
      National Human Genome Research
        Institute.......................         335         382         427
      National Institute of Biomedical
        Imaging and Bioengineering......                                  40
      National Center for Complementary
        and Alternative Medicine........          68          89         100
      National Center for Minority
        Health and Health Disparities...                     130         158
      John E. Fogarty International
        Center..........................          44          51          56
      National Library of Medicine......         214         246         276
      Office of the Director............         282         212         232
      Buildings and Facilities..........         165         154         307
                                        ------------------------------------
          Subtotal......................      17,827      20,458      23,209
      Cooperative Research and
        Development Agreements..........          10          10          10
                                        ------------------------------------
          Total Budget Authority, NIH...      17,837      20,468      23,219
                                        ====================================

                              [Dollars in millions]

                                            2000         2001        2002
    Distribution of outlays by account:
      National Cancer Institute.........       2,929       3,341       3,813
      National Heart, Lung, and Blood
        Institute.......................       1,696       2,007       2,296
      National Institute of Dental and
        Craniofacial Research...........         232         271         309
      National Institute of Diabetes and
        Digestive and Kidney Diseases...         993       1,186       1,402
      National Institute of Neurological
        Disorders and Stroke............         868       1,031       1,186
      National Institute of Allergy and
        Infectious Diseases.............       1,523       1,789       2,068
      National Institute of General
        Medical Sciences................       1,203       1,378       1,559
      National Institute of Child Health
        and Human Development...........         769         869         998
      National Eye Institute............         387         451         518
      National Institute of
        Environmental Health Sciences...         399         474         578
      National Institute on Aging.......         571         685         785
      National Institute of Arthritis
        and Musculoskeletal and Skin
        Diseases........................         295         348         398
      National Institute on Deafness and
        Other Communication Disorders...         222         264         303
      National Institute of Nursing
        Research........................          71          85         103
      National Institute on Alcohol
        Abuse and Alcoholism............         253         295         342
      National Institute on Drug Abuse..         580         681         782
      National Institute of Mental
        Health..........................         821         966       1,108
      National Center for Research
        Resources.......................         493         680         814
      National Human Genome Research
        Institute.......................         374         297         397
      National Institute of Biomedical
        Imaging and Bioengineering......                                   6
      National Center for Complementary
        and Alternative Medicine........          11          46          75
      National Center for Minority
        Health and Health Disparities...                      19          43
      John E. Fogarty International
        Center..........................          29          42          49
      National Library of Medicine......         184         223         255
      Office of the Director............         317         239         242
      Buildings and Facilities..........         210         177         243
      Service and Supply Fund/Management
        Fund............................         -31
                                        ------------------------------------
          Subtotal Outlays..............      15,399      17,844      20,672
      Cooperative Research and
        Development Agreements..........          16          10          10
                                        ------------------------------------
          Total Outlays, NIH............      15,415      17,854      20,682
                                        ====================================
        Note: The total amount for FY 2002 AIDS research is $2,501,352,000 which
    was jointly determined by the Director of NIH and the Director of the Office
    of AIDS Research. Amounts available under section 4921 of P.L. 105-33 and
    P.L. 106-554 for research on diabetes are included in the National Institute
    of Diabetes and Digestive and Kidney Disorders.

        This program funds biomedical research and research training. These
    accounts will continue to be appropriated separately, and are displayed
    in a consolidated format to improve the readability of the presentation.
    Detailed information is available through the Department of Health and
    Human Services.

        NIH is working to meet the management challenges that can arise when
    an agency receives a substantial infusion of resources over a short
    period of time. NIH is in the process of identifying strategies and
    policies that would be implemented in 2002 and 2003 and beyond to
    maximize budgetary and management flexibility in the future. Such
    strategies could include funding the total costs of an increasing number
    of new grants in the grant's first year and supporting some one-time
    activities such as high-priority construction and renovation projects.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9915-0-1-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         560         643         701
    11.3      Other than full-time permanent         169         194         213
    11.5      Other personnel compensation..          39          35          38
    11.8      Special personal services
                payments....................          99         114         124
                                               ---------   ---------  ----------
    11.9        Total personnel compensation         867         986       1,076
    12.1    Civilian personnel benefits.....         195         225         246
    21.0    Travel and transportation of
              persons.......................          34          39          43
    22.0    Transportation of things........           5           5           6
    23.1    Rental payments to GSA..........           6           7           7
    23.2    Rental payments to others.......          21          23          28
    23.3    Communications, utilities, and
              miscellaneous charges.........          42          48          53
    24.0    Printing and reproduction.......          14          16          17
    25.1    Advisory and assistance services          57          58          63
    25.2    Other services..................         329         321         363
    25.3    Purchases of goods and services
              from Government accounts......       1,188       1,275       1,554
    25.4    Operation and maintenance of
              facilities....................         192         293         454
    25.5    Research and development
              contracts.....................         974       1,157       1,339
    25.6    Medical care....................          12          12          14
    25.7    Operation and maintenance of
              equipment.....................          39          39          43
    26.0    Supplies and materials..........         176         194         217
    31.0    Equipment.......................         156         168         186
    41.0    Grants, subsidies, and
              contributions.................      13,571      15,604      17,512
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..      17,878      20,470      23,221
    99.0  Reimbursable obligations..........       1,122       1,339       1,453
                                               ---------   ---------  ----------
    99.9    Total new obligations...........      19,000      21,809      24,674
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9915-0-1-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......      11,581      12,728      13,178
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......       4,465       4,706       4,782
    ---------------------------------------------------------------------------

    [[Page 454]]

            SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

                                  Federal Funds

    General and special funds:

                   Substance Abuse and Mental Health Services

        For carrying out titles V and XIX of the Public Health Service Act
    with respect to substance abuse and mental health services, the
    Protection and Advocacy for Mentally Ill Individuals Act of 1986, and
    section 301 of the Public Health Service Act with respect to program
    management, [$2,958,001,000, of which $24,605,000 shall be available for
    the projects and in the amounts specified in the statement of the
    managers on the conference report accompanying this Act] $3,029,456,000:
    Provided, That in addition to amounts provided herein, $29,000,000 shall
    be available from amounts available under section 241 of the Public
    Health Service Act, to carry out national data collection activities.
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1362-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Mental health and substance
              abuse activities..............         635         793         817
    00.02   Mental health partnership.......         356         420         420
    00.03   Substance abuse partnership.....       1,600       1,665       1,725
    00.05   Program management..............          59          79          67
    09.01 Reimbursable program..............          32          40          69
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       2,682       2,997       3,098
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       2,684       2,997       3,098
    23.95 Total new obligations.............      -2,682      -2,997      -3,098
    23.98 Unobligated balance expiring or
            withdrawn.......................          -2
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................       2,655       2,958       3,029
    40.75   Reduction pursuant to P.L. 106-
              554 (Labor/HHS)...............                      -1
    40.76   Reduction pursuant to P.L. 106-
              113...........................          -3
    41.00   Transferred to other accounts...          -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       2,651       2,957       3,029
    68.00 Spending authority from offsetting
            collections: Offsetting
            collections (cash)..............          33          40          69
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       2,684       2,997       3,098
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................       1,852       1,985       2,278
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................       1,852       1,985       2,278
    73.10 Total new obligations.............       2,682       2,997       3,098
    73.20 Total outlays (gross).............      -2,532      -2,704      -2,951
    73.40 Adjustments in expired accounts
            (net)...........................         -17
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.       1,985       2,278       2,425
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year       1,985       2,278       2,425
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       1,129       1,243       1,305
    86.93 Outlays from discretionary
            balances........................       1,403       1,463       1,646
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       2,532       2,704       2,951
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........         -33         -40         -69
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       2,651       2,957       3,029
    90.00 Outlays...........................       2,499       2,664       2,882
    ---------------------------------------------------------------------------

        This program provides Federal support for treatment and prevention
    in the areas of alcoholism, drug abuse, and mental health. The
    Administration has proposed to retain the language in Sec. 214 of the
    HHS General Provisions dealing with the penalty in the Sec. 1926 of the
    Public Health Service Act, known as the Synar Amendment. The only
    penalty allowed under the current law is disproportionally severe, and
    could penalize those needing substance abuse services rather than states
    that miss their youth tobacco use reduction targets. The Administration
    looks forward to working with Congress to achieve a permanent statutory
    change that would establish a more fair and sustainable penalty
    structure.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1362-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          36          39          42
    11.3      Other than full-time permanent           1           1           1
    11.5      Other personnel compensation..           1           1           1
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          38          41          44
    12.1    Civilian personnel benefits.....           8           9           9
    21.0    Travel and transportation of
              persons.......................           2           2           2
    23.1    Rental payments to GSA..........           4           6           6
    23.3    Communications, utilities, and
              miscellaneous charges.........           2           2           2
    24.0    Printing and reproduction.......           4           4           4
    25.1    Advisory and assistance services          11          14          15
    25.2    Other services..................         168         175         180
    25.3    Purchases of goods and services
              from Government accounts......          74          79          82
    26.0    Supplies and materials..........           7           7           7
    31.0    Equipment.......................           1           2           2
    41.0    Grants, subsidies, and
              contributions.................       2,328       2,614       2,674
    42.0    Insurance claims and indemnities           2           2           2
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..       2,649       2,957       3,029
    99.0  Reimbursable obligations..........          33          40          69
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       2,682       2,998       3,098
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-1362-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......         541         560         560
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......          70          72          72
    ---------------------------------------------------------------------------

                   AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

                                  Federal Funds

    General and special funds:

                         Healthcare Research and Quality

        For carrying out titles III and IX of the Public Health Service Act,
    [and part A of title XI of the Social Security Act, $104,963,000; in
    addition,] $306,245,000 from amounts designated under section 241 of the
    Act, together with amounts received from Freedom of Information Act
    fees, reimbursable and interagency agreements, and the sale of data,
    which shall be credited to this appropriation and shall remain available
    until expended[: Provided, That the amount made available pursuant to
    section 926(b) of the Public Health Service Act shall not exceed
    $164,980,000]. (Departments of Labor, Health and Human Services, and
    Education, and Related Agencies Appropriations Act, 2001, as enacted by
    section 1(a)(1) of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1700-0-1-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    01.01   Research on health costs,
              quality, and outcomes.........         108         103

    [[Page 455]]

    01.04   Program support.................           2           2
    09.00 Reimbursable program..............         103         177         318
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         213         282         318
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........           2           5           5
    22.00 New budget authority (gross)......         216         282         318
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         218         287         323
    23.95 Total new obligations.............        -213        -282        -318
    23.98 Unobligated balance expiring or
            withdrawn.......................          -1
    24.40 Unobligated balance carried
            forward, end of year............           5           5           5
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................         111         105
    40.76   Reduction pursuant to P.L. 106-
              113...........................          -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         110         105
          Spending authority from offsetting
              collections:

    68.00   Offsetting collections (cash)...         110         177         318
    68.10   Change in uncollected customer
              payments from Federal sources.         -14
    68.15   Adjustments to uncollected
              customer payments from Federal
              sources.......................          10
                                               ---------   ---------  ----------
    68.90     Spending authority from
                offsetting collections
                (total discretionary).......         106         177         318
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................         216         282         318
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         170         218         215
    72.95   Uncollected customer payments
              from Federal sources, start of
              year..........................         -20          -6          -6
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         150         212         209
    73.10 Total new obligations.............         213         282         318
    73.20 Total outlays (gross).............        -161        -285        -409
    73.40 Adjustments in expired accounts
            (net)...........................          -4
    74.00 Change in uncollected customer
            payments from Federal sources...          14
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         218         215         124
    74.95   Uncollected customer payments
              from Federal sources, end of
              year..........................          -6          -6          -6
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         212         209         118
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................          68         188         318
    86.93 Outlays from discretionary
            balances........................          93          97          91
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         161         285         409
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........        -110        -177        -318
          Against gross budget authority only:

    88.95   Change in uncollected customer
              payments from Federal sources.          14
    88.96   Adjustment to uncollected
              customer payments from Federal
              sources.......................         -10
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         110         105
    90.00 Outlays...........................          51         108          91
    ---------------------------------------------------------------------------

        This activity supports the development of scientific evidence and
    tools to improve the quality, safety, and effectiveness of all aspects
    of the health care system, and initiatives to disseminate and translate
    scientific findings into health care practice.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1700-0-1-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          12          14
    11.3      Other than full-time permanent           2           3
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          14          17
    12.1    Civilian personnel benefits.....           3           4
    21.0    Travel and transportation of
              persons.......................                       1
    23.1    Rental payments to GSA..........           2           3
    23.3    Communications, utilities, and
              miscellaneous charges.........           1           1
    24.0    Printing and reproduction.......           1           1
    25.2    Other services..................           7           7
    25.3    Purchases of goods and services
              from Government accounts......           6           7
    25.5    Research and development
              contracts.....................          21          35
    26.0    Supplies and materials..........           1           1
    31.0    Equipment.......................           1           2
    41.0    Grants, subsidies, and
              contributions.................          53          26
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..         110         105
    99.0  Reimbursable obligations..........         103         177         318
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         213         282         318
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-1700-0-1-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......         200         228
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......          66          66         294
    ---------------------------------------------------------------------------

                      HEALTH CARE FINANCING ADMINISTRATION

                                  Federal Funds

    General and special funds:

                          Grants to States for Medicaid

        For carrying out, except as otherwise provided, titles XI and XIX of
    the Social Security Act, [$93,586,251,000] $106,821,882,000, to remain
    available until expended.
        For making, after May 31, [2001] 2002, payments to States under
    title XIX of the Social Security Act for the last quarter of fiscal year
    [2001] 2002 for unanticipated costs, incurred for the current fiscal
    year, such sums as may be necessary.
        For making payments to States or in the case of section 1928 on
    behalf of States under title XIX of the Social Security Act for the
    first quarter of fiscal year [2002, $36,207,551,000] 2003,
    $46,601,937,000, to remain available until expended.
        Payment under title XIX may be made for any quarter with respect to
    a State plan or plan amendment in effect during such quarter, if
    submitted in or prior to such quarter and approved in that or any
    subsequent quarter. (Departments of Labor, Health and Human Services,
    and Education, and Related Agencies Appropriations Act, 2001, as enacted
    by section 1(a)(1) of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0512-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Medicaid vendor payments..........     114,540     122,429     134,238
    00.02 State and local administration....       6,718       6,998       7,996
    00.03 Vaccine purchases.................         550         775         795
    09.00 Medicare Part B premium transfer..                      60          70
                                               ---------   ---------  ----------
    10.00   Total new obligations...........     121,809     130,262     143,099
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........       1,117         110
    22.00 New budget authority (gross)......     117,794     130,152     143,099
    22.10 Resources available from
            recoveries of prior year
            obligations.....................       3,007
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......     121,918     130,262     143,099
    23.95 Total new obligations.............    -121,809    -130,262    -143,099
    24.40 Unobligated balance carried
            forward, end of year............         110
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................      86,087      93,586     106,822
    60.05   Appropriation (indefinite)......       2,923       4,678
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................      89,010      98,264     106,822

    [[Page 456]]

    65.00   Advance appropriation...........      28,734      30,589      36,207
          Offsetting collections (cash):

    69.00   Offsetting collections (cash)...                     170
    69.00   Offsetting collections (cash)...                   1,239          70
    69.10 Change in uncollected customer
            payments from Federal sources...          50        -110
                                               ---------   ---------  ----------
    69.90   Spending authority from
              offsetting collections (total
              mandatory)....................          50       1,299          70
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................     117,794     130,152     143,099
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................       4,811       5,691       5,691
    72.95   Uncollected customer payments
              from Federal sources, start of
              year..........................         -60        -110
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................       4,751       5,581       5,691
    73.10 Total new obligations.............     121,809     130,262     143,099
    73.20 Total outlays (gross).............    -117,921    -130,262    -143,099
    73.45 Recoveries of prior year
            obligations.....................      -3,007
    74.00 Change in uncollected customer
            payments from Federal sources...         -50         110
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.       5,691       5,691       5,691
    74.95   Uncollected customer payments
              from Federal sources, end of
              year..........................        -110
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year       5,581       5,691       5,691
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................     116,715     129,123     142,099
    86.98 Outlays from mandatory balances...       1,206       1,139       1,000
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........     117,921     130,262     143,099
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
              Federal sources:
    88.00       Federal sources.............                    -170         -70
    88.00       Federal sources.............                  -1,239
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........                  -1,409         -70
          Against gross budget authority only:

    88.95   Change in uncollected customer
              payments from Federal sources.         -50         110
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................     117,744     128,853     143,029
    90.00 Outlays...........................     117,921     128,853     143,029
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         2000 actual  2001 est.   2002 est.
    Enacted/requested:
      Budget Authority..................     117,744     128,853     143,029
      Outlays...........................     117,921     128,853     143,029
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                -606
      Outlays...........................                                -606
                                        ------------------------------------
    Total:
      Budget Authority..................     117,744     128,853     142,423
      Outlays...........................     117,921     128,853     142,423
                                        ====================================

        Medicaid assists States in providing medical care to their low-
    income population by granting Federal matching payments under title XIX
    of the Social Security Act to States with approved plans.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0512-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    41.0  Direct obligations: Grants,
            subsidies, and contributions....     121,809     130,202     143,029
    99.0  Reimbursable obligations:
            Subtotal, reimbursable
            obligations.....................                      60          70
                                               ---------   ---------  ----------
    99.9    Total new obligations...........     121,809     130,262     143,099
    ---------------------------------------------------------------------------

                          Grants to States for Medicaid

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0512-4-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 41.0).....................                                -606
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                -606
    23.95 Total new obligations.............                                 606
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                -606
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                -606
    73.20 Total outlays (gross).............                                 606
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                -606
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                -606
    90.00 Outlays...........................                                -606
    ---------------------------------------------------------------------------

        This Administration is proposing to further restrict the Medicaid
    ``upper payment limit'' loophole by prohibiting States with new hospital
    payment plans from accessing a higher upper payment limit permitted by
    previous regulations. The Administration is also proposing legislation
    that would permanently extend a Department of Veterans Affairs provision
    which limits VA pensions to Medicaid recipients in nursing homes.

                         State Grants and Demonstrations

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0516-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 41.0).....................                      62          67
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                      62          67
    23.95 Total new obligations.............                     -62         -67
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                      62          67
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................                                  46
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................                                  46
    73.10 Total new obligations.............                      62          67
    73.20 Total outlays (gross).............                     -16         -29
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.                      46          84
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year                      46          84
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                      16          17
    86.98 Outlays from mandatory balances...                                  12
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........                      16          29
    ----------------------------------------------------------------------------

    [[Page 457]]

        Net budget authority and outlays:
    89.00 Budget authority..................                      62          67
    90.00 Outlays...........................                      16          29
    ---------------------------------------------------------------------------

        The Ticket to Work and Work Incentives Improvement Act of 1999 (P.L.
    106-170), Title II, established two grant programs. Section 203 provides
    funding for Medicaid infrastructure grants to support the design,
    establishment and operation of State infrastructures to help working
    people with disabilities purchase health coverage through Medicaid.
    Section 204 provides funding for States to establish Demonstrations to
    Maintain Independence and Employment, which will provide Medicaid
    benefits and services to working individuals who have a condition that,
    without medical assistance, will result in disability.

                       Payments to Health Care Trust Funds

        For payment to the Federal Hospital Insurance and the Federal
    Supplementary Medical Insurance Trust Funds, as provided under [sections
    217(g) and] 1844 of the Social Security Act, sections 103(c) and 111(d)
    of the Social Security Amendments of 1965, section 278(d) of Public Law
    97-248, and for administrative expenses incurred pursuant to section
    201(g) of the Social Security Act, [$70,381,600,000] $81,924,200,000.
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0580-0-1-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Supplementary medical insurance
            (SMI)...........................      65,561      69,777      81,332
    00.02 Hospital insurance for uninsured
            (HI)............................         349         321         292
    00.03 Federal uninsured payment (HI)....         121         132         150
    00.04 Program management (HI)...........         116         152         150
    00.06 Federal payments from taxation of
            OASDI benefits (HI).............       8,787       7,337       7,903
    00.08 Fraud and abuse control, FBI......          76          88         101
    00.10 Fraud and abuse control, criminal
            fines...........................          57          63          69
    00.14 Fraud and abuse control,
            administrative fees.............           4           4           5
                                               ---------   ---------  ----------
    10.00   Total new obligations...........      75,071      77,874      90,002
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......      78,213      77,874      90,002
    23.95 Total new obligations.............     -75,071     -77,874     -90,002
    23.98 Unobligated balance expiring or
            withdrawn.......................      -3,142
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

            Appropriation:
    60.00     Appropriation.................       8,924       7,492       8,078
    60.00     Appropriation.................      69,289      70,382      81,924
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................      78,213      77,874      90,002
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............      75,071      77,874      90,002
    73.20 Total outlays (gross).............     -75,071     -77,874     -90,002
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................      75,071      77,874      90,002
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................      78,213      77,874      90,002
    90.00 Outlays...........................      75,071      77,874      90,002
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         2000 actual  2001 est.   2002 est.
    Enacted/requested:
      Budget Authority..................      78,213      77,874      90,002
      Outlays...........................      75,071      77,874      90,002
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................                                -176
      Outlays...........................                                -176
                                        ------------------------------------
    Total:
      Budget Authority..................      78,213      77,874      89,826
      Outlays...........................      75,071      77,874      89,826
                                        ====================================

        Payments are made (1) to the Federal Supplementary Medical Insurance
    trust fund; and (2) to the Federal hospital insurance trust fund for
    individuals aged 65 and over who meet certain transitional insured
    status requirements, and for civil service employees and annuitants who
    worked before 1983 and who were employed during January 1983. Since
    1992, amounts have been included for non-Medicare activities of HCFA
    program management.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0580-0-1-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    41.0  Grants, subsidies, and
            contributions...................      74,485      77,269      89,410
    42.0  Insurance claims and indemnities..         470         453         442
    92.0  Undistributed.....................         116         152         150
                                               ---------   ---------  ----------
    99.9    Total new obligations...........      75,071      77,874      90,002
    ---------------------------------------------------------------------------

                       Payments to Health Care Trust Funds

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0580-2-1-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Supplementary medical insurance
            (SMI)...........................                                 -70
    00.06 Federal Payments from Taxation of
            OASDI Benefits (HI).............                                -106
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................                                -176
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                -176
    23.95 Total new obligations.............                                 176
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                -176
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                -176
    73.20 Total outlays (gross).............                                 176
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                -176
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                -176
    90.00 Outlays...........................                                -176
    ---------------------------------------------------------------------------

        The budget proposes a tax relief package that would reduce marginal
    tax rates. This change would reduce the receipts from taxing OASDI
    benefits, and therefore would reduce the amount of the tax transfer to
    the Hospital Insurance (HI) trust fund. The account reflects this
    reduction.

        The budget proposes new discretionary user fees paid by providers
    for submitting paper claims and duplicate or unprocessable claims. This
    account reflects the reduction in payments to HI and SMI as a result of
    this user fee proposal.

                               Program Management

        For carrying out, except as otherwise provided, titles XI, XVIII,
    XIX, and XXI of the Social Security Act, titles XIII and XXVII of the
    Public Health Service Act, and the Clinical Laboratory Improvement
    Amendments of 1988, not to exceed [$2,246,326,000] $2,351,158,000, to be
    transferred from the Federal Hospital Insurance and the Federal
    Supplementary Medical Insurance Trust Funds, as

    [[Page 458]]

    authorized by section 201(g) of the Social Security Act; together with
    all funds collected in accordance with section 353 of the Public Health
    Service Act and section 1857(e)(2) of the Social Security Act, and such
    sums as may be collected from authorized user fees and the sale of data,
    which shall remain available until expended [, and together with
    administrative fees collected relative to Medicare overpayment recovery
    activities, which shall remain available until expended]: Provided, That
    all funds derived in accordance with 31 U.S.C. 9701 from organizations
    established under title XIII of the Public Health Service Act shall be
    credited to and available for carrying out the purposes of this
    appropriation: Provided further, That [$18,000,000] $18,200,000
    appropriated under this heading for the managed care system redesign
    shall remain available until expended: Provided further, [That
    $20,000,000 of the amount available for research, demonstration, and
    evaluation activities shall be available to continue carrying out
    demonstration projects on Medicaid coverage of community-based attendant
    care services for people with disabilities which ensures maximum control
    by the consumer to select and manage their attendant care services:
    Provided further, That the Secretary of Health and Human Services is
    directed to enter into an agreement with the Mind-Body Institute of
    Boston, Massachusetts to conduct a demonstration of a lifestyle
    modification program: Provided further, That $2,800,000 of the amount
    available for research, demonstration, and evaluation activities shall
    be awarded for administration, evaluation, quality monitoring and peer
    review of this lifestyle modification demonstration: Provided further,
    That $2,800,000 of the amount available for research, demonstration, and
    evaluation activities shall be awarded to a joint application from the
    University of Pittsburgh, Case Western Reserve in Cleveland, Ohio, and
    Mt. Sinai Hospital in Miami, Florida, to use integrated nursing services
    and technology to implement daily monitoring of congestive heart failure
    patients in underserved populations in accordance with established
    clinical guidelines: Provided further, That $500,000 of the amount
    available for research, demonstration, and evaluation activities shall
    be awarded to the University of Pittsburgh Medical Center and University
    of Pennsylvania for a study of the efficacy of surgical versus non-
    surgical management of abdominal aneurysms: Provided further, That
    $650,000 of the amount available for research, demonstration, and
    evaluation activities shall be awarded to the Vascular Surgery Outcomes
    Initiative at Dartmouth College: Provided further, That up to $300,000
    of the amount available for research, demonstration, and evaluation
    activities shall be awarded to the United States-Mexico Border Counties
    Coalition for a study to determine the unreimbursed costs incurred to
    treat undocumented aliens for medical emergencies in southwest border
    States, their border counties, and hospitals within the jurisdiction of
    these States and counties: Provided further, That $1,700,000 of the
    amount available for research, demonstration, and evaluation activities
    shall be awarded to the AIDS Healthcare Foundation in Los Angeles for a
    demonstration of residential and outpatient treatment facilities:
    Provided further, That $350,000 of the amount available for research,
    demonstration, and evaluation activities shall be awarded to the Cook
    County, Illinois Bureau of Health for the Asthma Champion Initiative
    demonstration to reduce morbidity and mortality from asthma in high
    prevalence areas: Provided further, That $1,000,000 of the amount
    available for research, demonstration, and evaluation activities shall
    be awarded to the West Virginia University School of Medicine's Eye
    Center to test interventions and improve the quality of life for
    individuals with low vision, with a particular focus on the elderly:
    Provided further, That $1,000,000 of the amount available for research,
    demonstration, and evaluation activities shall be awarded to the Iowa
    Department of Public Health for the establishment and operation of a
    mercantile prescription drug purchasing cooperative or non-profit
    corporation demonstration: Provided further, That $691,000 of the amount
    available for research, demonstration, and evaluation activities shall
    be awarded to Ohio State University to determine the benefits of
    compliance packaging: Provided further, That $855,000 of the amount
    available for research, demonstration and evaluation activities shall be
    awarded to Children's Hospice International for a demonstration project
    to provide a continuum of care for children with life-threatening
    conditions and their families: Provided further, That $921,000 of the
    amount available for research, demonstration, and evaluation activities
    shall be awarded to Equip for Equality for a demonstration project to
    document the impact of an independent investigative unit that will
    examine deaths or other serious allegations of abuse and neglect of
    people with disabilities at facilities in Illinois: Provided further,
    That $1,000,000 of the amount available for research, demonstration, and
    evaluation activities shall be awarded to Duke University Medical Center
    to demonstrate the potential savings in the Medicare program of a
    reimbursement system based on preventative care: Provided further, That
    $1,843,000 of the amount available for research, demonstration, and
    evaluation activities shall be awarded to Bucks County, Pennsylvania,
    for a health improvement project: Provided further, That $255,000 of the
    amount available for research, demonstration, and evaluation activities
    shall be awarded to the LA Care Health Plan in Los Angeles, California
    for a demonstration program to improve clinical data coordination among
    Medicaid providers: Provided further, That $646,000 of the amount
    available for research, demonstration, and evaluation activities shall
    be for the Shelby County Regional Medical Center to establish a Master
    Patient Index to determine patient Medicaid/TennCare eligibility:
    Provided further,] That the Secretary of Health and Human Services is
    directed to collect fees in fiscal year [2001] 2002 from Medicare+Choice
    organizations pursuant to section 1857(e)(2) of the Social Security Act
    and from eligible organizations with risk-sharing contracts under
    section 1876 of that Act pursuant to section 1876(k)(4)(D) of that Act.
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-0-1-550      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Medicare contractors............       1,237       1,357       1,522
    00.02   Federal administration..........         484         505         532
    00.03   State survey and certification..         209         242         242
    00.04   Research, demonstrations, and
              evaluation projects...........          62         138          55
                                               ---------   ---------  ----------
    01.00   Total direct program............       1,992       2,242       2,351
    09.01 CLIA..............................          37          43          43
    09.03 Other reimbursements..............          11           2           2
    09.06 Medicare+Choice...................          92          17          17
                                               ---------   ---------  ----------
    09.09   Total reimbursable program......         140          62          62
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       2,132       2,304       2,413
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........          88          71          71
    22.00 New budget authority (gross)......       2,086       2,304       2,413
    22.10 Resources available from
            recoveries of prior year
            obligations.....................          30
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       2,204       2,375       2,484
    23.95 Total new obligations.............      -2,132      -2,304      -2,413
    24.40 Unobligated balance carried
            forward, end of year............          71          71          71
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    42.00   Transferred from other accounts.           3
          Spending authority from offsetting
              collections:

            Offsetting collections (cash):
    68.00     Offsetting collections (cash).       1,986       2,242       2,351
    68.00     Offsetting collections (cash).         140          62          62
    68.10   Change in uncollected customer
              payments from Federal sources.         111
    68.15   Adjustments to uncollected
              customer payments from Federal
              sources.......................        -154
                                               ---------   ---------  ----------
    68.90     Spending authority from
                offsetting collections
                (total discretionary).......       2,082       2,304       2,413
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       2,085       2,304       2,413
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         738         826         826
    72.95   Uncollected customer payments
              from Federal sources, start of
              year..........................        -663        -774        -774
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................          75          52          52
    73.10 Total new obligations.............       2,132       2,304       2,413
    73.20 Total outlays (gross).............      -2,014      -2,304      -2,413
    73.45 Recoveries of prior year
            obligations.....................         -30
    74.00 Change in uncollected customer
            payments from Federal sources...        -111

    [[Page 459]]

          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         826         826         826
    74.95   Uncollected customer payments
              from Federal sources, end of
              year..........................        -774        -774        -774
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year          52          52          52
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       1,577       2,304       2,413
    86.93 Outlays from discretionary
            balances........................         437
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       2,014       2,304       2,413
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............      -1,986      -2,242      -2,351
    88.40     Non-Federal sources...........        -140         -62         -62
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........      -2,126      -2,304      -2,413
          Against gross budget authority only:

    88.95   Change in uncollected customer
              payments from Federal sources.        -111
    88.96   Adjustment to uncollected
              customer payments from Federal
              sources.......................         154
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................           3
    90.00 Outlays...........................        -112
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         2000 actual  2001 est.   2002 est.
    Enacted/requested:
      Budget Authority..................           2
      Outlays...........................        -112
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................
      Outlays...........................
                                        ------------------------------------
    Total:
      Budget Authority..................           2
      Outlays...........................        -112
                                        ====================================

        Program management activities include funding for research, Medicare
    contractors, survey and certification, CLIA, Medicare+Choice, and
    administrative costs. The Healthy Communities Innovation Fund Initiative
    makes available approximately $10 million in Health Care Financing
    Administration's existing grant activities to address health care issues
    at the State and local level in innovative ways. Additional funding is
    available in the Health Resources and Services Administration and
    Centers for Disease Control and Prevention.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-0-1-550      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........         271         301         323
    11.3      Other than full-time permanent           7           8           9
    11.5      Other personnel compensation..           4           4           5
                                               ---------   ---------  ----------
    11.9        Total personnel compensation         282         313         337
    12.1    Civilian personnel benefits.....          58          61          68
    21.0    Travel and transportation of
              persons.......................          11          12          11
    22.0    Transportation of things........           1
    23.1    Rental payments to GSA..........          15          21          21
    23.3    Communications, utilities, and
              miscellaneous charges.........          13           4           4
    24.0    Printing and reproduction.......           5           8           7
    25.1    Advisory and assistance services          17           1           1
    25.2    Other services..................         336         409         352
    25.3    Purchases of goods and services
              from Government accounts......           8           9           8
    25.6    Medical care....................       1,208       1,353       1,518
    26.0    Supplies and materials..........           3           1           1
    31.0    Equipment.......................          11           3           2
    32.0    Land and structures.............          10          10          10
    41.0    Grants, subsidies, and
              contributions.................          14          37          11
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..       1,992       2,242       2,351
    99.0  Reimbursable obligations..........         140          62          62
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       2,132       2,304       2,413
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0511-0-1-550      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......       4,366       4,528       4,552
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......          80          82          80
    ---------------------------------------------------------------------------

                               Program Management

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-2-1-550      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct program:

    00.01   Medicare operations.............                                -115
          Reimbursable program:

    09.01   Proposed user fees..............                                 115
                                               ---------   ---------  ----------
    10.00   Total new obligations...........
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    23.95 Total new obligations.............
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Spending authority from offsetting
              collections:

            Discretionary:
              Offsetting collections (cash):
    68.00       Offsetting collections
                  (appropriation)...........                                -115
    68.00       Offsetting collections (user
                  fees).....................                                 115
                                               ---------   ---------  ----------
    68.90       Spending authority from
                  offsetting collections
                  (total discretionary).....
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

            Offsetting collections (cash)
                from:
    88.00     Federal sources...............                                 115
    88.40     Non-Federal sources...........                                -115
                                               ---------   ---------  ----------
    88.90       Total, offsetting
                  collections (cash)........
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................
    ---------------------------------------------------------------------------

        The Budget includes $115 million in new user fees to finance HCFA
    activities. Proposed fees include: a duplicate or unprocessable claims
    fee and a paper claims fee. If the authorizing legislation is enacted,
    the amount appropriated from the Federal hospital insurance and Federal
    supplementary medical insurance trust funds will be reduced by $115
    million. The authorizing legislation will be proposed to authorize the
    collection and spending of the fee.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0511-2-1-550      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    25.6  Direct obligations: Medical care..                                -115
    99.0  Reimbursable obligations:
            Subtotal, reimbursable
            obligations.....................                                 115
                                               ---------   ---------  ----------
    99.9    Total new obligations...........
    ---------------------------------------------------------------------------

    [[Page 460]]

                     State Children's Health Insurance Fund

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0515-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Grants, subsidies, and
            contributions...................       4,249       4,249       3,115
    00.02 Advisory and assistance services..          10
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................       4,259       4,249       3,115
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       4,259       4,249       3,115
    23.95 Total new obligations.............      -4,259      -4,249      -3,115
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

            Appropriation:
    60.00     Appropriation, BBA............       4,275       4,275       3,150
    60.00     Appropriation, BBRA for
                territories.................          34          34          25
    60.00     Appropriation, BBRA...........          10
    61.00   Transferred to other accounts...         -60         -60         -60
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................       4,259       4,249       3,115
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................       7,912      10,951      11,168
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................       7,912      10,951      11,168
    73.10 Total new obligations.............       4,259       4,249       3,115
    73.20 Total outlays (gross).............      -1,220      -4,032      -3,355
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.      10,951      11,168      10,928
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year      10,951      11,168      10,928
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................         195         880         930
    86.98 Outlays from mandatory balances...       1,025       3,152       2,425
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       1,220       4,032       3,355
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       4,259       4,249       3,115
    90.00 Outlays...........................       1,220       4,032       3,355
    ---------------------------------------------------------------------------

        The Balanced Budget Act of 1997 established the State children's
    health insurance program (SCHIP) under Title XXI of the Social Security
    Act. Title XXI provides Federal matching funds to States to enable them
    to extend coverage to uninsured children from low-income families.
    States are able to use Title XXI funds for obtaining health benefit
    coverage for uninsured children through a SCHIP program, a SCHIP
    Medicaid expansion program, or a combination of both.

                  Immediate Helping Hand Prescription Drug Plan

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9010-4-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 41.0).....................                   2,500      11,200
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                   2,500      11,200
    23.95 Total new obligations.............                  -2,500     -11,200
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                   2,500      11,200
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                   2,500      11,200
    73.20 Total outlays (gross).............                  -2,500     -11,200
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                   2,500      11,200
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                   2,500      11,200
    90.00 Outlays...........................                   2,500      11,200
    ---------------------------------------------------------------------------

        The Immediate Helping Hand provides critical assistance to our
    Nation's most vulnerable senior citizens for the cost of their
    prescription drugs.

          Health Maintenance Organization Loan and Loan Guarantee Fund

        For carrying out subsections (d) and (e) of section 1308 of the
    Public Health Service Act, any amounts received by the Secretary in
    connection with loans and loan guarantees under title XIII of the Public
    Health Service Act, to be available without fiscal year limitation for
    the payment of outstanding obligations. During fiscal year [2001] 2002,
    no commitments for direct loans or loan guarantees shall be made.
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4420-0-3-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........          11          10          10
    22.00 New budget authority (gross)......           1
    22.60 Portion applied to repay debt.....          -2          -1
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          10           9          10
    23.95 Total new obligations.............
    24.40 Unobligated balance carried
            forward, end of year............          10          10          10
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    69.00   Offsetting collections (cash)...           1
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....          -1
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................
    ---------------------------------------------------------------------------

                 Status of Guaranteed Loans (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-4420-0-3-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Cumulative balance of guaranteed loans
                    outstanding:
    2210  Outstanding, start of year........           3           1
    2251  Repayments and prepayments........          -2          -1
                                               ---------   ---------  ----------
    2290    Outstanding, end of year........           1
    ----------------------------------------------------------------------------

        Memorandum:
    2299  Guaranteed amount of guaranteed
            loans outstanding, end of year..           1
    ---------------------------------------------------------------------------

        The last loan commitments from the HMO loan fund were made in 1983.
    The schedule above reflects receipts on outstanding loans and payments
    to the Federal Financing Bank.

                                   Trust Funds

                      Federal Hospital Insurance Trust Fund

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-0-7-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    01.99 Balance, start of year............     137,807     167,263     196,615
        Receipts:
    02.00 Transfers from general fund (FICA
            taxes)..........................     125,909     137,002     143,528

    [[Page 461]]

    02.01 Transfers from general fund (SECA
            taxes)..........................       9,200       9,819      10,152
    02.02 Receipts from Railroad Retirement
            Board...........................         418         407         418
    02.03 Civil penalties and damages.......         147         161         178
    02.04 Deposits by states................           2
    02.20 Premiums collected for uninsured
            individuals not otherwise
            eligible........................       1,392       1,397       1,488
    02.21 Other proprietary receipts from
            the public......................           1
    02.40 Federal employer contributions
            (FICA)..........................       1,989       2,036       2,125
    02.41 Postal service employer
            contributions (FICA)............         639         655         682
    02.42 Payments from the general fund
            (uninsured and program
            management).....................         587         605         592
          Offsetting receipts (intragovernmental):

    02.43   Taxation on OASDI benefits......       8,787       7,337       7,903
    02.43   Taxation on OASDI benefits,
              legislative proposal not
              subject to PAYGO..............                                -106
    02.44 Interest payments by Railroad
            Retirement Board................          47          37          34
    02.45 Interest received by trust funds..      10,423      12,248      13,715
    02.46 Payments for military service
            credits.........................           2           2           2
    02.47 FBI, Payment from the general fund          76          88         101
    02.48 Criminal fines, transfers from the
            general fund....................          57          63          69
    02.49 Civil monetary penalties,
            transfers from the general fund.           5           6           6
    02.50 Transfers from DOD, HI............                      11          16
    02.80 Federal hospital insurance trust
            fund, offsetting collections....           5
                                               ---------   ---------  ----------
    02.99   Total receipts and collections..     159,686     171,874     180,903
                                               ---------   ---------  ----------
    04.00 Total: Balances and collections...     297,493     339,137     377,518
        Appropriations:
          Appropriations:

    05.00   Federal hospital insurance trust
              fund..........................    -129,366    -141,572    -146,197
    05.00   Proposed legislation not subject
              to PAYGO......................                                  20
    05.01 Health care fraud and abuse
            control account.................        -869        -950      -1,010
                                               ---------   ---------  ----------
    05.99   Total appropriations............    -130,235    -142,522    -147,187
    06.10 Unobligated balance returned to
            receipts........................           5
                                               ---------   ---------  ----------
    07.99 Balance, end of year..............     167,263     196,615     230,331
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-0-7-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Benefit payments, HI..............     125,993     135,092     141,843
    00.02 Administration, HI................       1,232       1,447       1,548
    00.03 Peer review organizations, HI.....         405          89         312
    00.04 Research, HI......................          30          97          39
    00.05 HI partial transfer of home health
            to SMI..........................       1,706       3,515       2,455
    00.06 Quinquennial adjustment...........                   1,332
                                               ---------   ---------  ----------
    10.00   Total new obligations...........     129,366     141,572     146,197
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......     129,366     141,572     146,197
    23.95 Total new obligations.............    -129,366    -141,572    -146,197
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.26   Appropriation (trust fund,
              definite).....................       1,222       1,504       1,547
          Mandatory:

    60.27   Appropriation (trust fund,
              indefinite)...................     157,594     169,420     178,451
    60.45   Portion precluded from
              obligation....................     -29,450     -29,352     -33,801
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................     128,144     140,068     144,650
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................     129,366     141,572     146,197
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         465         636         390
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         465         636         390
    73.10 Total new obligations.............     129,366     141,572     146,197
    73.20 Total outlays (gross).............    -129,195    -141,818    -146,221
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         636         390         366
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         636         390         366
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       1,222       1,440       1,547
    86.97 Outlays from new mandatory
            authority.......................     127,823     140,011     144,447
    86.98 Outlays from mandatory balances...         150         367         227
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........     129,195     141,818     146,221
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................     129,366     141,572     146,197
    90.00 Outlays...........................     129,195     141,818     146,221
    ----------------------------------------------------------------------------

        Memorandum (non-add) entries:
    92.01 Total investments, start of year:
            Federal securities: Par value...     153,767     168,859     197,178
    92.02 Total investments, end of year:
            Federal securities: Par value...     168,859     197,178     230,850
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         2000 actual  2001 est.   2002 est.
    Enacted/requested:
      Budget Authority..................     129,366     141,572     146,197
      Outlays...........................     129,195     141,818     146,221
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................                                 -20
      Outlays...........................                                 -20
                                        ------------------------------------
    Total:
      Budget Authority..................     129,366     141,572     146,177
      Outlays...........................     129,195     141,818     146,201
                                        ====================================

        The Hospital Insurance (HI) program funds the costs of hospital and
    related care for individuals age 65 or older and for eligible disabled
    people.

        The status of the trust fund is as follows:

                      Status of Funds (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-0-7-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Unexpended balance, start of year:
    0100  Treasury balance..................     -15,346        -789
    0101  U.S. Securities: Par value........     153,767     168,859     197,178
                                               ---------   ---------  ----------
    0199    Total balance, start of year....     138,421     168,072     197,178
        Cash income during the year:
          Current law:

            Receipts:
    1200      FHI trust fund, transfers from
                general fund (FICA taxes)...     125,909     137,002     143,528
    1201      FHI trust fund, transfers from
                general fund (SECA taxes)...       9,200       9,819      10,152
    1202      FHI trust fund, receipts from
                Railroad Retirement Board...         418         407         418
    1203      HCFAC: Civil penalties and
                damages.....................         147         161         178
    1204      FHI trust fund, Deposits by
                States......................           2
            Offsetting receipts
                (proprietary):
    1220      FHI trust fund, premiums
                collected for uninsured
                individuals not otherwise
                eligible....................       1,392       1,397       1,488
    1221      Other proprietary receipts....           1
            Offsetting receipts
                (intragovernmental):
    1240      FHI trust fund, Federal
                employer contributions
                (FICA)......................       1,989       2,036       2,125
    1241      FHI trust fund, Postal Service
                employer contributions
                (FICA)......................         639         655         682
              Offsetting receipts
                  (intragovernmental):
    1242        FHI trust fund, Federal
                  payment for transitional
                  coverage for uninsured
                  Federal employees.........         121         132         150
    1242        FHI trust fund, Federal
                  payment for transitional
                  coverage for the uninsured         349         321         292
    1242        FHI trust fund, general fund
                  transfer, program
                  management (HI)...........         116         152         150
    1243      FHI trust fund, Federal
                payments for OASDI taxes....       8,787       7,337       7,903
    1244      FHI trust fund, interest
                payment from Railroad
                Retirement Board............          47          37          34
    1245      FHI trust fund, interest on
                investments.................      10,423      12,248      13,715
    1246      FHI trust fund, transfer from
                Department of Defense for
                military service credits....           2           2           2
    1247      HCFAC: FBI....................          76          88         101
    1248      HCFAC: Criminal fines.........          57          63          69
    1249      HCFAC: Civil monetary
                penalties...................           5           6           6
    1250      Other intragovernmental
                transactions................                      11          16
            Offsetting collections:
    1280      HCFAC user fees...............           5
    1299    Income under present law........     159,686     171,874     181,009
          Proposed legislation:

            Offsetting receipts
                (intragovernmental):
    2243      Offsetting receipts
                (intragovernmental).........                                -106
                                               ---------   ---------  ----------
    3299    Total cash income...............     159,686     171,874     180,903

    [[Page 462]]

        Cash outgo during year:
          Current law:

            Cash outgo during the year (-):
    4500      Benefit Payments..............    -125,992    -136,424    -141,843
    4500      Administration................      -1,232      -1,431      -1,521
    4500      Peer Review Organizations.....        -235        -399        -336
    4500      Research......................         -30         -49         -66
    4500      HI Partial Transfer of Home
                Health to SMI...............      -1,706      -3,515      -2,455
    4501    HCFAC...........................        -840        -950      -1,010
    4599    Outgo under current law (-).....    -130,035    -142,768    -147,231
          Proposed legislation:

    5500    Administration, legislative
              proposal not subject to PAYGO.                                  20
                                               ---------   ---------  ----------
    6599    Total cash outgo (-)............    -130,035    -142,768    -147,211
        Unexpended balance, end of year:
    8700  Uninvested balance................        -789
    8701  Federal securities: Par value.....     168,859     197,178     230,870
                                               ---------   ---------  ----------
    8799    Total balance, end of year......     168,072     197,178     230,870
    ---------------------------------------------------------------------------

                    Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-0-7-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Grants, subsidies, and contributions:

    41.0    Payment for health insurance
              experiments and demonstration
              projects......................          30          97          39
    41.0    Payment for peer review
              organization (PRO) activities.         405          89         312
    42.0  Insurance claims and indemnities..     125,993     136,424     141,843
          Undistributed:

    92.0    HI Partial Transfer of Home
              Health to SMI.................       1,706       3,515       2,455
    92.0    Reimbursement for administrative
              expenses for other than SSA
              LAE...........................          50          50          50
    92.0    Purchases of goods and services.         694         816         864
    93.0  Administrative expenses: Portion
            of limitation on salaries and
            expenses: Social Security
            Administration..................         488         581         634
                                               ---------   ---------  ----------
    99.9    Total new obligations...........     129,366     141,572     146,197
    ---------------------------------------------------------------------------

                      Federal Hospital Insurance Trust Fund

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8005-2-7-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.02 Administration, HI................                                 -20
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 92.0)...................                                 -20
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                 -20
    23.95 Total new obligations.............                                  20
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.26   Appropriation (trust fund,
              definite).....................                                 -20
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                 -20
    73.20 Total outlays (gross).............                                  20
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................                                 -20
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                 -20
    90.00 Outlays...........................                                 -20
    ----------------------------------------------------------------------------

        Memorandum (non-add) entries:
    92.02 Total investments, end of year:
            Federal securities: Par value...                                  20
    ---------------------------------------------------------------------------

        The budget proposes a tax relief package that would reduce marginal
    tax rates. This change would reduce the receipts from taxing OASDI
    benefits, and therefore would reduce the amount of the tax transfer to
    the Hospital Insurance (HI) trust fund. The account reflects this
    reduction.

        The budget proposes new discretionary user fees paid by providers
    for submitting paper claims and duplicate or unprocessable claims. This
    account reflects the reduction in payments to HI and SMI as a result of
    this user fee proposal.

                   Health Care Fraud and Abuse Control Account

                     (federal hospital insurance trust fund)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8393-0-7-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Medicare integrity program........         630         680         700
    00.02 FBI fraud and abuse control.......          76          88         101
    00.03 Other fraud and abuse control.....         157         182         209
    09.01 Reimbursable program..............           1
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         864         950       1,010
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         869         950       1,010
    23.95 Total new obligations.............        -864        -950      -1,010
    23.98 Unobligated balance expiring or
            withdrawn.......................          -5
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.26   Appropriation (trust fund,
              definite).....................         864         950       1,010
    69.00 Offsetting collections (cash).....           5
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................         869         950       1,010
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         149         173         173
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         149         173         173
    73.10 Total new obligations.............         864         950       1,010
    73.20 Total outlays (gross).............        -840        -950      -1,010
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         173         173         173
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         173         173         173
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................         840         950       1,010
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........          -5
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         864         950       1,010
    90.00 Outlays...........................         836         950       1,010
    ---------------------------------------------------------------------------

        P.L. 104-191 established the Health Care Fraud and Abuse Control
    (HCFAC) account within the Federal hospital insurance trust fund and
    appropriated funds, to be available without further appropriation, from
    the trust fund to the HCFAC account for specified health care fraud and
    abuse control activities of the Department of Health and Human Services
    (HHS), the Department of Justice, and other agencies.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8393-0-7-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

    25.6    Medical care (HCFA).............         630         680         700
    92.0    Undistributed (FBI).............          76          88         101
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..         706         768         801
          Allocation Account:

            Personnel compensation:
              Full-time permanent:
    11.1        Full-time permanent [Other
                  HHS]......................           2           2           1

    [[Page 463]]

    11.1        Full-time permanent (OIG)...          61          74          87
    11.1        Full-time permanent (DoJ)...          15          15          15
    11.1        Full-time permanent (ASMB)..                                   2
    11.1        Full-time permanent (OGC)...           2           3           4
              Other than full-time
                  permanent:
    11.3        Other than full-time
                  permanent (DOJ)...........           1           1           1
    11.3        Other than full-time
                  permanent (OIG)...........           1
    11.5      Other personnel compensation
                (OIG).......................           1
    11.8      Special personal services
                payments [DOJ]..............           1           1           1
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          84          96         111
            Civilian personnel benefits:
    12.1      Civilian personnel benefits
                (OIG).......................          17          19          24
    12.1      Civilian personnel benefits
                (DoJ).......................           4           4           4
            Travel and transportation of
                persons:
    21.0      Travel and transportation of
                persons (OIG)...............           5           6           6
    21.0      Travel and transportation of
                persons (DoJ)...............           1           1           1
    22.0    Transportation of things (OIG)..           1           1           1
            Rental payments to GSA:
    23.1      Rental payments to GSA (OIG)..           8           8           9
    23.1      Rental payments to GSA (DoJ)..           3           3           3
    23.3    Communications, utilities, and
              miscellaneous charges (OIG)...           2           1           2
    24.0    Printing and reproduction [DOJ].           1                       1
    25.1    Advisory and assistance services
              [DOJ].........................           1           1           1
            Other services:
    25.2      Other services (DoJ)..........           6          14          15
    25.2      Other services [OIG]..........           2           2           2
    25.2      Other services................                       1           3
            Purchases of goods and services
                from Government accounts:
    25.3      Purchases of goods and
                services from Government
                accounts (DoJ)..............           2           3           2
    25.3      Purchases of goods and
                services from Government
                accounts [OIG]..............          12          12          12
    25.7    Operation and maintenance of
              equipment (OIG)...............           1           1           1
    26.0    Supplies and materials (OIG)....           2           2           2
            Equipment:
    31.0      Equipment (OIG)...............           5           4           4
    31.0      Equipment [DOJ]...............                       1           1
            Grants, subsidies, and
                contributions:
    41.0      Grants, subsidies, and
                contributions (AoA).........           1                       1
    41.0      Grants, subsidies, and
                contributions (HCFA)........                       2           3
                                               ---------   ---------  ----------
    99.0      Subtotal, allocation account..         158         182         209
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         864         950       1,010
    ---------------------------------------------------------------------------

        This schedule reflects estimated distribution of the allocation
    account. Actual FY 2002 distributions will be determined by the
    Secretary of HHS and the Attorney General consistent with the
    President's priorities.

                                         2000 actual  2001 est.   2002 est.
    Department of Justice (DOJ).........          35          43          45
    Office of the Inspector General, HHS         119         130         150
    Health Care Financing
    Administration, HHS.................         630         683         704
    Office of General Counsel, HHS......           2           4           5
    Other HHS...........................           2           2           5
                                        ------------------------------------
        Total...........................         788         862         909
                                        ====================================

               Federal Supplementary Medical Insurance Trust Fund

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-0-7-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    01.99 Balance, start of year............      45,615      45,730      39,360
        Receipts:
          Offsetting receipts (proprietary):

    02.20   Premiums collected for the aged.      17,961      19,152      22,116
    02.20   Premiums collected for the aged,
              legislative proposal not
              subject to PAYGO..............                                 -20
    02.21 Premiums collected for the
            disabled........................       2,554       2,884       3,430
    02.22 Other proprietary receipts from
            the public......................           4
          Offsetting receipts (intragovernmental):

    02.40   Federal contributions...........      65,561      69,777      81,332
    02.40   Federal contributions,
              legislative proposal not
              subject to PAYGO..............                                 -70
    02.41 Interest received by trust fund...       3,160       3,033       2,733
    02.42 Transfers from DOD, SMI...........                      11          15
    02.80 Federal supplementary medical
            insurance trust fund, offsetting
            collections.....................       1,706       3,515       2,455
                                               ---------   ---------  ----------
    02.99   Total receipts and collections..      90,946      98,372     111,991
                                               ---------   ---------  ----------
    04.00 Total: Balances and collections...     136,561     144,102     151,351
        Appropriations:
          Appropriations:

    05.00   Federal supplementary medical
              insurance trust fund..........     -90,831    -104,742    -112,290
    05.00   Legislative proposal not subject
              to PAYGO......................                                  95
                                               ---------   ---------  ----------
    05.99   Total appropriations............     -90,831    -104,742    -112,195
                                               ---------   ---------  ----------
    07.99 Balance, end of year..............      45,730      39,360      39,156
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-0-7-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Benefit payments, SMI.............      87,170      99,183     107,669
    00.02 Administration, SMI...............       1,767       1,810       2,002
    00.03 Peer review organizations, SMI....         175          22          78
    00.04 Research, SMI.....................          13          42          16
    00.06 Transfer to Medicaid for payment
            of SMI premiums.................                     170          70
    09.01 HI partial transfer of home health       1,706       3,515       2,455
                                               ---------   ---------  ----------
    10.00   Total new obligations...........      90,831     104,742     112,290
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......      90,831     104,742     112,290
    23.95 Total new obligations.............     -90,831    -104,742    -112,290
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.26   Appropriation (trust fund,
              definite).....................       1,776       1,852       2,014
    40.76   Reduction pursuant to P.L. 106-
              113...........................                      -4
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       1,776       1,848       2,014
          Mandatory:

    60.27   Appropriation (trust fund,
              indefinite)...................      87,464      93,009     107,612
    60.45   Portion precluded from
              obligation....................        -115       6,370         209
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................      87,349      99,379     107,821
    69.00 Offsetting collections (cash).....       1,706       3,515       2,455
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................      90,831     104,742     112,290
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................          34         166         114
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................          34         166         114
    73.10 Total new obligations.............      90,831     104,742     112,290
    73.20 Total outlays (gross).............     -90,698    -104,794    -112,288
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         166         114         116
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         166         114         116
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       1,776       1,816       2,003
    86.97 Outlays from new mandatory
            authority.......................      88,894     102,879     110,225
    86.98 Outlays from mandatory balances...          28          99          60
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........      90,698     104,794     112,288
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........      -1,706      -3,515      -2,455
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................      89,125     101,227     109,835
    90.00 Outlays...........................      88,992     101,279     109,833
    ----------------------------------------------------------------------------

        Memorandum (non-add) entries:
    92.01 Total investments, start of year:
            Federal securities: Par value...      26,528      45,075      39,474
    92.02 Total investments, end of year:
            Federal securities: Par value...      45,075      39,474      39,177
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         2000 actual  2001 est.   2002 est.
    Enacted/requested:
      Budget Authority..................      89,125     101,227     109,835
      Outlays...........................      88,992     101,279     109,833

    [[Page 464]]

    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................                                 -95
      Outlays...........................                                 -95
                                        ------------------------------------
    Total:
      Budget Authority..................      89,125     101,227     109,740
      Outlays...........................      88,992     101,279     109,738
                                        ====================================

        The Supplementary Medical Insurance (SMI) program is a voluntary
    program which affords protection against the costs of physician and
    certain other medical services. The program also covers treatment of
    end-stage renal disease for eligible enrollees. SMI costs are financed
    by premium payments from enrollees and contributions from the general
    revenues.

        The status of the trust fund is as follows:

                      Status of Funds (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-0-7-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Unexpended balance, start of year:
    0100  Treasury balance..................      19,120         821
    0101  U.S. Securities: Par value........      26,528      45,075      39,474
                                               ---------   ---------  ----------
    0199    Total balance, start of year....      45,649      45,896      39,474
        Cash income during the year:
          Current law:

            Offsetting receipts
                (proprietary):
    1220      Premiums collected for the
                aged, FSMI fund.............      17,961      19,152      22,116
    1221      Premiums collected for the
                disabled, FSMI fund.........       2,554       2,884       3,430
    1222      Other proprietary receipts....           4
            Offsetting receipts
                (intragovernmental):
    1240      Federal contributions, FSMI
                fund........................      65,561      69,777      81,332
    1241      Interest received by trust
                fund, FSMI fund.............       3,160       3,033       2,733
    1242      Intragovernmental transactions                      11          15
            Offsetting collections:
    1280      HI partial transfer of home
                health......................       1,706       3,515       2,455
    1299    Income under present law........      90,946      98,372     112,081
          Proposed legislation:

            Offsetting receipts (proprietary
                receipts):
    2220      Offsetting receipts
                (proprietary receipts)......                                 -20
            Offsetting receipts
                (intragovernmental):
    2240      Federal contributions,
                legislative proposal not
                subject to PAYGO............                                 -70
    2299    Income under proposed
              legislation...................                                 -90
                                               ---------   ---------  ----------
    3299    Total cash income...............      90,946      98,372     111,991
        Cash outgo during year:
          Current law:

            Cash outgo during the year (-):
    4500      Benefit payments & ESRD.......     -87,169     -99,183    -107,669
    4500      Administration................      -1,767      -1,799      -1,979
    4500      Peer review organizations.....         -43        -106         -87
    4500      Research......................         -13         -21         -28
    4500      HI partial transfer of home
                health......................      -1,706      -3,515      -2,455
    4500      Transfer to Medicaid for
                payment of SMI premiums.....                    -170         -70
    4599    Outgo under current law (-).....     -90,698    -104,794    -112,288
          Proposed legislation:

    5500    Administration, legislative
              proposal not subject to PAYGO.                                  95
                                               ---------   ---------  ----------
    6599    Total cash outgo (-)............     -90,698    -104,794    -112,193
        Unexpended balance, end of year:
    8700  Uninvested balance................         821
    8701  Federal securities: Par value.....      45,075      39,474      39,272
                                               ---------   ---------  ----------
    8799    Total balance, end of year......      45,896      39,474      39,272
    ---------------------------------------------------------------------------

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-0-7-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Grants, subsidies, and
                contributions:
    41.0      Payment for peer review
                organization (PRO) activity.         175          22          78
    41.0      Payment for health insurance
                experiments and
                demonstration projects......          16          42          16
    42.0    Insurance claims and indemnities      87,170      99,353     107,739
    92.0    Undistributed...................       1,254       1,297       1,442
    93.0    Administrative expenses: Portion
              of limitation on salaries and
              expenses: Social Security
              Administration................         510         513         560
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..      89,125     101,227     109,835
    99.0  Reimbursable obligations..........       1,706       3,515       2,455
                                               ---------   ---------  ----------
    99.9    Total new obligations...........      90,831     104,742     112,290
    ---------------------------------------------------------------------------

               Federal Supplementary Medical Insurance Trust Fund

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 20-8004-2-7-571      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.02 Administration, SMI...............                                 -95
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 92.0)...................                                 -95
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                 -95
    23.95 Total new obligations.............                                  95
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.26   Appropriation (trust fund,
              definite).....................                                 -95
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                 -95
    73.20 Total outlays (gross).............                                  95
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................                                 -95
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                 -95
    90.00 Outlays...........................                                 -95
    ----------------------------------------------------------------------------

        Memorandum (non-add) entries:
    92.02 Total investments, end of year:
            Federal securities: Par value...                                  95
    ---------------------------------------------------------------------------

        The Budget proposes new discretionary user fees paid by providers
    for submitting paper claims and duplicate or unprocessable claims. This
    account reflects the reduction in payments to SMI as a result of this
    user fee proposal.

                     Allocation Received From Other Accounts

        Note.--Obligations incurred under allocations from other accounts
    are included in the schedule of the parent appropriation as follows:
    Health Care Financing Administration: ``Health Care Fraud and Abuse
    Control Account.''

                    ADMINISTRATION FOR CHILDREN AND FAMILIES

                                  Federal Funds

    General and special funds:

                     Temporary Assistance for Needy Families

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1552-0-1-609      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 State family assistance grant.....      16,489      16,489      16,489
    00.02 State penalties...................                     -10         -10
    00.03 Territories--family assistance
            grants..........................          78          78          78
    00.04 Matching grants to territories....           7          15          15
    00.05 Bonus to reward decrease in
            illegitimacy....................         100         100         100

    [[Page 465]]

    00.06 Supplemental grants for population
            increases.......................         239         319
    00.07 Bonus to reward high performance
            States..........................         200         200         200
    00.08 Tribal work programs..............           7           7           7
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................      17,120      17,198      16,879
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........       1,561       1,122         609
    22.00 New budget authority (gross)......      16,689      16,689      16,679
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......      18,250      17,811      17,288
    23.95 Total new obligations.............     -17,120     -17,198     -16,879
    23.98 Unobligated balance expiring or
            withdrawn.......................          -8          -3
    24.40 Unobligated balance carried
            forward, end of year............       1,122         609         408
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.05   Appropriation (indefinite)......      16,689      16,689      16,679
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................      10,136      11,803      11,922
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................      10,136      11,803      11,922
    73.10 Total new obligations.............      17,120      17,198      16,879
    73.20 Total outlays (gross).............     -15,463     -17,080     -17,260
    73.40 Adjustments in expired accounts
            (net)...........................          11
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.      11,803      11,922      11,542
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year      11,803      11,922      11,542
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................      10,344      10,309      10,136
    86.98 Outlays from mandatory balances...       5,120       6,771       7,124
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........      15,463      17,080      17,260
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................      16,689      16,689      16,679
    90.00 Outlays...........................      15,464      17,080      17,260
    ---------------------------------------------------------------------------

        This account provides funding for activities established by the
    Personal Responsibility and Work Opportunity Reconciliation Act of 1996
    (P.L. 104-193). The Temporary assistance for needy families block grant
    provides funding to States for aid to low-income families with children.

        This account also includes Federal loans for State welfare programs,
    established by section 406 of the Social Security Act as amended.

                     Temporary Assistance for Needy Families

                    (Legislative proposal, subject to PAYGO)

        This legislative proposal will allow states beginning in 2003 to
    claim as Federal TANF expenditures a portion of the revenue losses
    associated with enacting a charitable State Tax Credit for contributions
    to charities designated by States as addressing poverty and its impact.

                                Contingency Fund

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1522-0-1-609      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........       1,958       1,958
    23.95 Total new obligations.............
    23.98 Unobligated balance expiring or
            withdrawn.......................                  -1,958
    24.40 Unobligated balance carried
            forward, end of year............       1,958
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................
    ---------------------------------------------------------------------------

      Payments to States for Child Support Enforcement and Family Support
                                    Programs

        For making payments to States or other non-Federal entities under
    titles I, IV-D, X, XI, XIV, and XVI of the Social Security Act and the
    Act of July 5, 1960 (24 U.S.C. ch. 9), [$2,441,800,000] $2,447,800,000,
    to remain available until expended; and for such purposes for the first
    quarter of fiscal year [2002, $1,000,000,000] 2003, $1,100,000,000, to
    remain available until expended.
        For making payments to each State for carrying out the program of
    Aid to Families with Dependent Children under title IV-A of the Social
    Security Act before the effective date of the program of Temporary
    Assistance to Needy Families (TANF) with respect to such State, such
    sums as may be necessary: Provided, That the sum of the amounts
    available to a State with respect to expenditures under such title IV-A
    in fiscal year 1997 under this appropriation and under such title IV-A
    as amended by the Personal Responsibility and Work Opportunity
    Reconciliation Act of 1996 shall not exceed the limitations under
    section 116(b) of such Act.
        For making, after May 31 of the current fiscal year, payments to
    States or other non-Federal entities under titles I, IV-D, X, XI, XIV,
    and XVI of the Social Security Act and the Act of July 5, 1960 (24
    U.S.C. ch. 9), for the last 3 months of the current fiscal year for
    unanticipated costs, incurred for the current fiscal year, such sums as
    may be necessary. (Departments of Labor, Health and Human Services, and
    Education, and Related Agencies Appropriations Act, 2001, as enacted by
    section 1(a)(1) of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1501-0-1-609      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Child support enforcement (CSE):

            Benefit payments:
    00.01     State child support
                administrative costs........       2,806       3,248       3,414
    00.02     Federal incentive/hold
                harmless payments to States.         406         426         460
    00.03     Access and visitation grants..          10          10          10
                                               ---------   ---------  ----------
    00.91   Subtotal, child support
              enforcement...................       3,222       3,684       3,884
    01.02 Payments to territories...........          19          23          23
    01.03 Repatriation......................           1           1           1
                                               ---------   ---------  ----------
    01.91   Subtotal, other payments........          20          24          24
          Aid to families with dependent children (AFDC)
              payments:

    02.01   AFDC benefit payments...........          94          37
    02.03   State and local welfare
              administration................          17           1
    02.04   AFDC/JOBS child care............                       2
                                               ---------   ---------  ----------
    02.91     Subtotal, AFDC programs.......         111          40
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................       3,353       3,748       3,908
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........       1,920           1
    22.00 New budget authority (gross)......       1,416       3,747       3,908
    22.10 Resources available from
            recoveries of prior year
            obligations.....................          18
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       3,354       3,748       3,908
    23.95 Total new obligations.............      -3,353      -3,748      -3,908
    24.40 Unobligated balance carried
            forward, end of year............           1
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                   2,442       2,448
    60.05   Appropriation (indefinite)......         260         229
                                               ---------   ---------  ----------
    62.50     Appropriation (total
                mandatory)..................         260       2,671       2,448
    65.00   Advance appropriation...........         750         650       1,000
    69.00 Offsetting collections (cash).....         406         426         460
    69.10 Change in uncollected customer
            payments from Federal sources...          54
    69.15 Adjustments to uncollected
            customer payments from Federal
            sources.........................         -54
                                               ---------   ---------  ----------
    69.90   Spending authority from
              offsetting collections (total
              mandatory)....................         406         426         460
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       1,416       3,747       3,908
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................       1,086       1,163       1,046

    [[Page 466]]

    72.95   Uncollected customer payments
              from Federal sources, start of
              year..........................         -30         -84         -84
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................       1,056       1,079         962
    73.10 Total new obligations.............       3,353       3,748       3,908
    73.20 Total outlays (gross).............      -3,312      -3,865      -3,913
    73.40 Adjustments in expired accounts
            (net)...........................          54
    73.45 Recoveries of prior year
            obligations.....................         -18
    74.00 Change in uncollected customer
            payments from Federal sources...         -54
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.       1,163       1,046       1,041
    74.95   Uncollected customer payments
              from Federal sources, end of
              year..........................         -84         -84         -84
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year       1,079         962         957
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................       1,416       3,235       3,382
    86.98 Outlays from mandatory balances...       1,896         630         531
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       3,312       3,865       3,913
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....        -406        -426        -460
          Against gross budget authority only:

    88.95   Change in uncollected customer
              payments from Federal sources.         -54
    88.96   Adjustment to uncollected
              customer payments from Federal
              sources.......................          54
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       1,010       3,321       3,448
    90.00 Outlays...........................       2,906       3,439       3,453
    ---------------------------------------------------------------------------

        This account provides for payments to States for child support
    enforcement and other family support programs, including access and
    visitation programs for families. Spending authority from the Federal
    share of child support collections is used to pay incentive payments
    and, for a limited time, hold harmless payments to States. The remaining
    net Federal share of collections is returned to the Treasury in a
    receipt account. The text table below shows the net Federal costs of
    child support enforcement:

                 Net Federal Costs of Child Support Enforcement

                            (In millions of dollars)

                                            2000         2001        2002
    Gross Federal share of collections..     (1,319)     (1,322)     (1,338)
    Federal incentive payments to States         396         416         450
    Hold harmless payments..............          10          10          10
    State child support administrative
    costs...............................       2,806       3,248       3,414
    Access and visitation grants........          10          10          10
                                        ------------------------------------
        Total...........................       1,903       2.362       2,546
                                        ====================================

                        Low Income Home Energy Assistance

        For making payments under title XXVI of the Omnibus Budget
    Reconciliation Act of 1981, [in addition to amounts already appropriated
    for fiscal year 2001, $300,000,000] $1,400,000,000.
        For making payments under title XXVI of the Omnibus Reconciliation
    Act of 1981, $300,000,000: Provided, That these funds are [hereby
    designated by the Congress to be emergency requirements pursuant to
    section 251(b)(2)(A) of the Balanced Budget and Emergency Deficit
    Control Act of 1985: Provided further, That these funds shall be made
    available only after submission to the Congress of a formal budget
    request by the President that includes designation of the entire amount
    of the request as an emergency requirement as defined in such Act] for
    the unanticipated home energy assistance needs of one or more States, as
    authorized by section 2604(e) of the Act and notwithstanding the
    designation requirement of section 2602(e) of such Act. (Departments of
    Labor, Health and Human Services, and Education, and Related Agencies
    Appropriations Act, 2001, as enacted by section 1(a)(1) of P.L. 106-
    554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1502-0-1-609      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 41.0).....................       1,845       1,856       1,559
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........                     156
    22.00 New budget authority (gross)......       2,000       1,700       1,700
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       2,000       1,856       1,700
    23.95 Total new obligations.............      -1,845      -1,856      -1,559
    23.98 Unobligated balance expiring or
            withdrawn.......................                                -141
    24.40 Unobligated balance carried
            forward, end of year............         156
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................                     300       1,400
    40.15   Appropriation (emergency).......         900         300         300
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         900         600       1,700
    55.00   Advance appropriation...........       1,100       1,100
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       2,000       1,700       1,700
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         474         822         437
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         474         822         437
    73.10 Total new obligations.............       1,845       1,856       1,559
    73.20 Total outlays (gross).............      -1,495      -2,241      -1,525
    73.40 Adjustments in expired accounts
            (net)...........................          -2
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         822         437         471
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         822         437         471
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       1,079       1,336       1,153
    86.93 Outlays from discretionary
            balances........................         416         905         372
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       1,495       2,241       1,525
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       2,000       1,700       1,700
    90.00 Outlays...........................       1,495       2,241       1,525
    ---------------------------------------------------------------------------

        This program makes grants to States and Indian tribes to aid low-
    income households with high energy costs through payments to eligible
    households, energy suppliers, and weatherization providers. Obligation
    estimates for the emergency contingency fund are based on average
    historical obligation rates.

                         Refugee and Entrant Assistance

        For making payments for refugee and entrant assistance activities
    authorized by title IV of the Immigration and Nationality Act and
    section 501 of the Refugee Education Assistance Act of 1980 (Public Law
    96-422), [$423,109,000: Provided, That funds appropriated pursuant to
    section 414(a) of the Immigration and Nationality Act for fiscal year
    2001 shall be available for the costs of assistance provided and other
    activities through September 30, 2003] $435,224,000 to remain available
    through September 30, 2004: Provided [further], That up to [$5,000,000]
    $10,000,000 is available to carry out the Trafficking Victims Protection
    Act of 2000.
        For carrying out section 5 of the Torture Victims Relief Act of 1998
    (Public Law 105-320), $10,000,000. (Departments of Labor, Health and
    Human Services, and Education, and Related Agencies Appropriations Act,
    2001, as enacted by section 1(a)(1) of P.L. 106-554.)

    [[Page 467]]

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1503-0-1-609      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Refugee and entrant assistance....         443         423         435
    00.02 Assistance for treatment of
            torture victims.................           7          10          10
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         450         433         445
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........           2          50          62
    22.00 New budget authority (gross)......         498         445         445
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         500         495         507
    23.95 Total new obligations.............        -450        -433        -445
    24.40 Unobligated balance carried
            forward, end of year............          50          62          62
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................                     423         435
    40.05   Appropriation (indefinite)......           8          10          10
    40.15   Appropriation (emergency).......         419
    40.76   Reduction pursuant to P.L. 106-
              113...........................          -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         426         433         445
    50.00   Reappropriation.................          72          12
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................         498         445         445
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         587         597         578
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         587         597         578
    73.10 Total new obligations.............         450         433         445
    73.20 Total outlays (gross).............        -383        -452        -446
    73.40 Adjustments in expired accounts
            (net)...........................         -58
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         597         578         577
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         597         578         577
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................         124         120         120
    86.93 Outlays from discretionary
            balances........................         259         331         325
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         383         452         446
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         498         445         445
    90.00 Outlays...........................         383         452         446
    ---------------------------------------------------------------------------

        States are subsidized for administering the refugee assistance
    program. Funds are also provided to assist in the rehabilitation of
    victims of torture.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1503-0-1-609      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           1           1           1
    25.2  Other services....................           1           1           1
    25.3  Purchases of goods and services
            from Government accounts........           1           1           1
    41.0  Grants, subsidies, and
            contributions...................         447         430         442
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         450         433         445
    ---------------------------------------------------------------------------

                       Promoting Safe and Stable Families

        For carrying out section 430 of the Social Security Act,
    $305,000,000. In addition, $67,000,000 shall be made available to the
    states consistent with the allotment procedures in section 433 of the
    Social Security Act for carrying out programs to mentor the children of
    prisoners and probationers. (Departments of Labor, Health and Human
    Services, and Education, and Related Agencies Appropriations Act, 2001,
    as enacted by section 1(a)(1) of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1512-0-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Grants to States and Tribes.......         260         289         289
    00.02 Training and technical assistance.           6           6           6
    00.03 State court assessment activities.          10          10          10
    00.04 Mentoring children of prisoners...                                  67
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         276         305         372
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         295         305         372
    23.95 Total new obligations.............        -276        -305        -372
    23.98 Unobligated balance expiring or
            withdrawn.......................         -19
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................                                  67
          Mandatory:

    60.00   Appropriation...................         295         305         305
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................         295         305         372
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         322         345         328
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         322         345         328
    73.10 Total new obligations.............         276         305         372
    73.20 Total outlays (gross).............        -245        -276        -303
    73.40 Adjustments in expired accounts
            (net)...........................          -8         -46
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         345         328         397
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         345         328         397
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................                                  10
    86.97 Outlays from new mandatory
            authority.......................          42          46          46
    86.98 Outlays from mandatory balances...         203         230         247
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         245         276         303
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         295         305         372
    90.00 Outlays...........................         245         276         303
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         2000 actual  2001 est.   2002 est.
    Enacted/requested:
      Budget Authority..................         295         305         372
      Outlays...........................         245         276         303
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                 200
      Outlays...........................                                  30
                                        ------------------------------------
    Total:
      Budget Authority..................         295         305         572
      Outlays...........................         245         276         333
                                        ====================================

        This program provides funds for a broad range of child welfare
    services, including family preservation and family support services.
    Includes funding for states to provide competitive grants to faith and
    community-based groups to mentor the children of prisoners and help
    rebuild the families of low-income probationers.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1512-0-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           6           6           7
    25.2  Other services....................                                   1
    41.0  Grants, subsidies, and
            contributions...................         270         299         364
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         276         305         372
    ---------------------------------------------------------------------------

    [[Page 468]]

                       Promoting Safe and Stable Families

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1512-4-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Grants to States and Tribes.......                                 200
                                               ---------   ---------  ----------
    10.00   Total new obligations...........                                 200
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                 200
    23.95 Total new obligations.............                                -200
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                 200
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................
    73.10 Total new obligations.............                                 200
    73.20 Total outlays (gross).............                                 -30
    73.40 Adjustments in expired accounts
            (net)...........................
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.                                 170
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year                                 170
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                  30
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                 200
    90.00 Outlays...........................                                  30
    ---------------------------------------------------------------------------

        The legislative proposal will reauthorize and increase the funds
    available for the Promoting Safe and Stable Families program.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1512-4-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    21.0  Travel and transportation of
            persons.........................                                   1
    25.1  Advisory and assistance services..                                   5
    25.2  Other services....................                                   1
    41.0  Grants, subsidies, and
            contributions...................                                 193
                                               ---------   ---------  ----------
    99.9    Total new obligations...........                                 200
    ---------------------------------------------------------------------------

               Job Opportunities and Basic Skills Training Program

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1509-0-1-504      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................          62          43           3
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................          62          43           3
    73.20 Total outlays (gross).............         -15          -9          -3
    73.40 Adjustments in expired accounts
            (net)...........................          -4         -31
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.          43           3
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year          43           3
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.98 Outlays from mandatory balances...          15           9           3
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................          15           9           3
    ---------------------------------------------------------------------------

        This activity is replaced by Temporary assistance for needy
    families.

                   State Legalization Impact-Assistance Grants

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1508-0-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................           8
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................           8
    73.40 Adjustments in expired accounts
            (net)...........................          -7
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................
    ---------------------------------------------------------------------------

                        Child Care Entitlement to States

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1550-0-1-609      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Mandatory child care..............       1,178       1,177       1,178
    00.02 Matching child care...............       1,136       1,332       1,478
    00.03 Training and technical assistance.           6           6           7
    00.04 Child Care Tribal Grants..........          47          51          54
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       2,367       2,567       2,717
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       2,367       2,567       2,717
    23.95 Total new obligations.............      -2,367      -2,567      -2,717
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................       2,367       2,567       2,717
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         517         643         787
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         517         643         787
    73.10 Total new obligations.............       2,367       2,567       2,717
    73.20 Total outlays (gross).............      -2,237      -2,423      -2,555
    73.40 Adjustments in expired accounts
            (net)...........................          -4
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         643         787         949
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         643         787         949
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................       1,869       1,994       2,046
    86.98 Outlays from mandatory balances...         368         429         509
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       2,237       2,423       2,555
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       2,367       2,567       2,717
    90.00 Outlays...........................       2,237       2,423       2,555
    ---------------------------------------------------------------------------

        This account provides child care funding for welfare recipients and
    low-income working families and was established by the Personal
    Responsibility and Work Opportunity Reconciliation Act of 1996 (P.L.
    104-193).

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1550-0-1-609      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           6           6           7
    41.0  Grants, subsidies, and
            contributions...................       2,361       2,561       2,710
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       2,367       2,567       2,717
    ---------------------------------------------------------------------------

    [[Page 469]]

        Payments to States for the Child Care and Development Block Grant

        For carrying out sections 658A through 658R of the Omnibus Budget
    Reconciliation Act of 1981 (The Child Care and Development Block Grant
    Act of 1990), [in addition to amounts already appropriated for fiscal
    year 2001, $817,328,000, such funds] $2,199,987,000 shall be used to
    supplement, not supplant state general revenue funds for child care
    assistance for low-income families: Provided, That $400,000,000 shall be
    available for States to provide parents with certificates to obtain
    after-school child care with a high-quality education focus for eligible
    children less than 19 years of age, and such funds shall be used to
    supplement, not supplant existing State efforts to serve school-age
    children: Provided further, That [of the funds appropriated for fiscal
    year 2001,] $19,120,000 shall be available for child care resource and
    referral and school-aged child care activities, of which $1,000,000
    shall be for the Child Care Aware toll free hotline: Provided further,
    That [of the funds appropriated for fiscal year 2001], in addition to
    the amounts required to be reserved by the States under section 658G,
    $272,672,000 shall be reserved by the States for activities authorized
    under section 658G, of which $100,000,000 shall be for activities that
    improve the quality of infant and toddler child care: Provided further,
    That [of the funds appropriated for fiscal year 2001], $10,000,000 shall
    be for use by the Secretary for child care research, demonstration, and
    evaluation activities. (Departments of Labor, Health and Human Services,
    and Education, and Related Agencies Appropriations Act, 2001, as enacted
    by section 1(a)(1) of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1515-0-1-609      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Block grant payments to States....       1,170       1,985       1,785
    00.02 Grants to States for after school
            certificates....................                                 400
    00.03 Advisory and assistance services..           3           5           5
    00.04 Research and evaluation fund......          10          10          10
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       1,183       2,000       2,200
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       1,183       2,000       2,200
    23.95 Total new obligations.............      -1,183      -2,000      -2,200
    23.98 Unobligated balance expiring or
            withdrawn.......................
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................                     817       2,200
    55.00   Advance appropriation...........       1,183       1,183
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       1,183       2,000       2,200
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         390         499         813
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         390         499         813
    73.10 Total new obligations.............       1,183       2,000       2,200
    73.20 Total outlays (gross).............      -1,070      -1,686      -2,069
    73.40 Adjustments in expired accounts
            (net)...........................          -3
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         499         813         944
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         499         813         944
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................         758       1,280       1,408
    86.93 Outlays from discretionary
            balances........................         312         406         661
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       1,070       1,686       2,069
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       1,183       2,000       2,200
    90.00 Outlays...........................       1,070       1,686       2,069
    ---------------------------------------------------------------------------

        This appropriation helps low-income families pay for child care and
    related services including certificates for parents to obtain high
    quality after-school care with an education focus and supports grants to
    States for child care quality activities.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1515-0-1-609      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           5           6           6
    25.2  Other services....................           1           1           1
    41.0  Grants, subsidies, and
            contributions...................       1,177       1,993       2,193
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       1,183       2,000       2,200
    ---------------------------------------------------------------------------

                           Social Services Block Grant

        For making grants to States pursuant to section 2002 of the Social
    Security Act, [$1,725,000,000: Provided, That notwithstanding section
    2003(c) of such Act, as amended, the amount specified for allocation
    under such section for fiscal year 2001 shall be $1,725,000,000:
    Provided further, That, notwithstanding subparagraph (B) of section
    404(d)(2) of such Act, the applicable percent specified under such
    subparagraph for a State to carry out State programs pursuant to title
    XX of such Act shall be 10 percent] $1,700,000,000. (Departments of
    Labor, Health and Human Services, and Education, and Related Agencies
    Appropriations Act, 2001, as enacted by section 1(a)(1) of P.L. 106-
    554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1534-0-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    10.00 Total new obligations (object
            class 41.0).....................       1,775       1,725       1,700
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       1,775       1,725       1,700
    23.95 Total new obligations.............      -1,775      -1,725      -1,700
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................       1,775       1,725       1,700
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         927         874         693
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         927         874         693
    73.10 Total new obligations.............       1,775       1,725       1,700
    73.20 Total outlays (gross).............      -1,827      -1,906      -1,809
    73.40 Adjustments in expired accounts
            (net)...........................          -1
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         874         693         583
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         874         693         583
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................       1,481       1,501       1,479
    86.98 Outlays from mandatory balances...         346         406         330
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       1,827       1,906       1,809
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       1,775       1,725       1,700
    90.00 Outlays...........................       1,827       1,906       1,809
    ---------------------------------------------------------------------------

                     Children and Families Services Programs

                             (including rescissions)

        For carrying out, except as otherwise provided, the Runaway and
    Homeless Youth Act, the Developmental Disabilities Assistance and Bill
    of Rights Act, the Head Start Act, the Child Abuse Prevention and
    Treatment Act, the Native American Programs Act of 1974, title II of
    Public Law 95-266 (adoption opportunities), the Adoption and Safe
    Families Act of 1997 (Public Law 105-89), the Abandoned Infants
    Assistance Act of 1988, [the Early Learning Opportunities Act,] part
    B(1) of title IV and sections 413, 429A, 1110, and 1115 of the Social
    Security Act, and sections 40155, 40211, and 40241 of Public Law 103-
    322; for making payments under the Community Services Block Grant Act,
    section 473A of the Social Security Act, and title IV of Public Law 105-
    285, and for necessary administrative expenses to carry out said Acts
    and titles I, IV, X, XI, XIV, XVI,

    [[Page 470]]

    and XX of the Social Security Act, the Act of July 5, 1960 (24 U.S.C.
    ch. 9), the Omnibus Budget Reconciliation Act of 1981, title IV of the
    Immigration and Nationality Act, section 501 of the Refugee Education
    Assistance Act of 1980, section 5 of the Torture Victims Relief Act of
    1998 (Public Law 105-320), sections 40155, 40211, and 40241 of Public
    Law 103-322 and section 126 and titles IV and V of Public Law 100-485,
    [$7,956,345,000] $8,117,492,000, of which $43,000,000, to remain
    available until September 30, [2002] 2003, shall be for grants to States
    for adoption incentive payments, as authorized by section 473A of title
    IV of the Social Security Act (42 U.S.C. 670-679) and may be made for
    adoptions completed in fiscal years [1999] 2000 and [2000] 2001; of
    which [$682,876,000] $655,015,000 shall be for making payments under the
    Community Services Block Grant Act; and of which [$6,200,000,000]
    $6,324,812,000 shall be for making payments under the Head Start Act,
    [of which $1,400,000,000 shall become available October 1, 2001 and
    remain available through September 30, 2002] Provided, That the budget
    authority (but not the outlays) for $1,400,000,000 provided under this
    heading in fiscal year 2001, to be available as an advance appropriation
    in fiscal year 2002, shall be considered direct spending in fiscal year
    2002 for purposes of the Balanced Budget and Emergency Deficit Control
    Act of 1990, as amended, and section 2(a) of Public Law 106-554:
    Provided further, That to the extent Community Services Block Grant
    funds are distributed as grant funds by a State to an eligible entity as
    provided under the Act, and have not been expended by such entity, they
    shall remain with such entity for carryover into the next fiscal year
    for expenditure by such entity consistent with program purposes:
    Provided further, That $53,739,900 shall be for the Transitional Living
    Program as authorized by Part B of the Runaway and Homeless Youth Act,
    of which $33,000,000 is for Maternity Group Homes: Provided further,
    That $89,000,000 is for a compassion capital fund to provide grants to
    charitable organizations to emulate model social service programs and to
    encourage research on the best practices of social service
    organizations: Provided further, That the Secretary shall establish
    procedures regarding the disposition of intangible property which
    permits grant funds, or intangible assets acquired with funds authorized
    under section 680 of the Community Services Block Grant Act, as amended,
    to become the sole property of such grantees after a period of not more
    than 12 years after the end of the grant for purposes and uses
    consistent with the original grant.
        [Funds appropriated for fiscal year 2001 under section 429A(e), part
    B of title IV of the Social Security Act shall be reduced by $6,000,000.
        Funds appropriated for fiscal year 2001 under section 413(h)(1) of
    the Social Security Act shall be reduced by $15,000,000.] (Departments
    of Labor, Health and Human Services, and Education, and Related Agencies
    Appropriations Act, 2001, as enacted by section 1(a)(1) of P.L. 106-
    554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1536-0-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Head Start........................       3,865       6,200       6,325
          Social services programs:

            Runaway and homeless youth:
    01.03     Runaway and homeless youth....          44          48          48
    01.04     Transitional living...........          20          21          21
    01.05     Maternity group homes.........                                  33
            Child abuse:
    01.07     Child abuse state grants......          21          21          21
    01.08     Child abuse discretionary
                grants......................          18          34          18
    01.09     Community based resource
                centers.....................          33          33          33
            Child welfare programs:
    01.11     Abandoned infants assistance..          12          12          12
    01.14     Child welfare services........         292         292         292
    01.15     Child welfare training........           7           7           7
    01.16     Adoption initiative...........          42          43          43
    01.17     Adoption opportunities........          27          27          27
    01.18   Family violence grants--battered
              women.........................          18
    01.19   Social services and income
              maintenance research..........          39          38           6
    01.20   Native American programs........          35          46          44
    01.21   Compassion capital fund.........                                  89
    01.23   Early learning fund.............                      20
            Developmental disabilities:
    01.24     Protection and advocacy.......          28          33          33
    01.25     Special projects..............          10          11          11
    01.26     University affiliated projects          18          22          22
    01.27     State grants..................          66          68          68
                                               ---------   ---------  ----------
    01.91     Subtotal social services
                programs....................         730         776         828
    02.01 ACF Federal administration........         147         164         172
    02.22 Faith based center................                                   3
    02.88 Violent crime reductions programs.                     134         134
                                               ---------   ---------  ----------
    02.91   Subtotal, Federal administration         147         298         309
                                               ---------   ---------  ----------
    02.93   Total Head Start, social
              services programs, Federal
              administration................       4,742       7,274       7,462
          Community services programs:

    03.01   Community services block grants.         519         600         600
    03.03   Community food and nutrition....           6           6
    03.04   Community services discretionary          37          35          30
    03.05   National youth sports...........          15          16
    03.06 Individual development accounts...           7          25          25
                                               ---------   ---------  ----------
    03.91   Subtotal, community services....         584         682         655
                                               ---------   ---------  ----------
    04.00   Total direct programs...........       5,326       7,956       8,117
    09.01 Reimbursable program..............          15          15          15
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       5,341       7,971       8,132
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........           1
    22.00 New budget authority (gross)......       5,344       7,971       9,532
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       5,345       7,971       9,532
    23.95 Total new obligations.............      -5,341      -7,971      -8,132
    23.98 Unobligated balance expiring or
            withdrawn.......................          -3
    24.40 Unobligated balance carried
            forward, end of year............                               1,400
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................       3,634       6,556       8,117
    40.15   Appropriation (emergency).......       1,700
    40.76   Reduction pursuant to P.L. 106-
              113...........................          -6
    41.00   Transferred to other accounts...          -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............       5,327       6,556       8,117
    55.00   Advance appropriation...........                   1,400
          Mandatory:

    65.00   Advance appropriation...........                               1,400
          Spending authority from offsetting
              collections:

            Discretionary:
    68.00     Offsetting collections (cash).          15          15          15
    68.10     Change in uncollected customer
                payments from Federal
                sources.....................           2
                                               ---------   ---------  ----------
    68.90       Spending authority from
                  offsetting collections
                  (total discretionary).....          17          15          15
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       5,344       7,971       9,532
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................       4,261       3,396       4,671
    72.95   Uncollected customer payments
              from Federal sources, start of
              year..........................                      -2          -2
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................       4,261       3,394       4,669
    73.10 Total new obligations.............       5,341       7,971       8,132
    73.20 Total outlays (gross).............      -6,167      -6,657      -7,809
    73.40 Adjustments in expired accounts
            (net)...........................         -39         -41
    74.00 Change in uncollected customer
            payments from Federal sources...          -2
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.       3,396       4,671       4,994
    74.95   Uncollected customer payments
              from Federal sources, end of
              year..........................          -2          -2          -2
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year       3,394       4,669       4,992
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................       2,671       3,825       3,867
    86.93 Outlays from discretionary
            balances........................       3,495       2,832       3,942
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........       6,167       6,657       7,809
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........         -15         -15         -15

    [[Page 471]]

          Against gross budget authority only:

    88.95   Change in uncollected customer
              payments from Federal sources.          -2
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       5,327       7,956       9,517
    90.00 Outlays...........................       6,152       6,642       7,794
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         2000 actual  2001 est.   2002 est.
    Enacted/requested:
      Budget Authority..................       5,327       7,956       9,517
      Outlays...........................       6,151       6,642       7,794
    Legislative proposal, not subject to
        PAYGO:
      Budget Authority..................                                  64
      Outlays...........................                                   3
                                        ------------------------------------
    Total:
      Budget Authority..................       5,327       7,956       9,581
      Outlays...........................       6,151       6,642       7,797
                                        ====================================

        Includes funding for grants to provide young pregnant and parenting
    women with access to community and faith-based Maternity Group Homes.
    Additionally, provides funding for a Compassion Capital Fund to support
    public and private partnerships in funding community and faith-based
    charitable organizations that expand upon or emulate model social
    service programs. Finally, funds are included for Best Practices to fund
    research on the effectiveness of social service organizations.

        The Administration proposes to reverse the misleading budget
    practice of using advance appropriations simply to avoid spending
    limitations. In order to avoid overstating discretionary budget
    authority in 2002, language is proposed to exclude the advance
    appropriation budget authority, appropriated in 2001, from discretionary
    budget authority.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1536-0-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          94         104         113
    11.3      Other than full-time permanent           1           1           1
    11.5      Other personnel compensation..           1           1           1
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          96         106         115
    12.1    Civilian personnel benefits.....          18          20          22
    21.0    Travel and transportation of
              persons.......................           3           4           5
    23.1    Rental payments to GSA..........          13          15          16
    23.3    Communications, utilities, and
              miscellaneous charges.........           2           2           2
    24.0    Printing and reproduction.......           1           2           3
    25.1    Advisory and assistance services          80          77         124
    25.2    Other services..................           8           8          41
    25.3    Purchases of goods and services
              from Government accounts......          35          29          30
    25.5    Research and development
              contracts.....................                       1           1
    25.7    Operation and maintenance of
              equipment.....................                       1           1
    26.0    Supplies and materials..........           1           1           2
    31.0    Equipment.......................           1           1           1
    41.0    Grants, subsidies, and
              contributions.................       5,068       7,689       7,754
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..       5,326       7,956       8,117
    99.0  Reimbursable obligations..........          15          15          15
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       5,341       7,971       8,132
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-1536-0-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......       1,468       1,532       1,550
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......           2
    ---------------------------------------------------------------------------

                     Children and Families Services Programs

                  (Legislative proposal, not subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1536-2-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.04 Strengthening fatherhood..........                                  64
                                               ---------   ---------  ----------
    10.00   Total new obligations...........                                  64
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                  64
    23.95 Total new obligations.............                                 -64
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................                                  64
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                  64
    73.20 Total outlays (gross).............                                  -3
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.                                  61
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year                                  61
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................                                   3
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                  64
    90.00 Outlays...........................                                   3
    ---------------------------------------------------------------------------

        This legislative proposal includes funds to establish a new
    discretionary grant program for community and faith-based organizations
    that promote responsible fatherhood, successful parenting and stronger
    marriages.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1536-2-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    25.2  Other services....................                                   4
    41.0  Grants, subsidies, and
            contributions...................                                  60
                                               ---------   ---------  ----------
    99.9    Total new obligations...........                                  64
    ---------------------------------------------------------------------------

                        Violent Crime Reduction Programs

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8605-0-1-754      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Family violence/battered women's
            shelters and domestic violence
            hotline.........................          86
    00.02 Education and prevention grants to
            reduce sexual abuse of runaway,
            homeless and street youth.......          15
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         101
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         101
    23.95 Total new obligations.............        -101
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    42.00   Transferred from other accounts.         101
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         116         117          33
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         116         117          33
    73.10 Total new obligations.............         101
    73.20 Total outlays (gross).............        -101         -84         -29
    73.40 Adjustments in expired accounts
            (net)...........................           1
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         117          33           4
                                               ---------   ---------  ----------

    [[Page 472]]

    74.99     Obligated balance, end of year         117          33           4
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................          11
    86.93 Outlays from discretionary
            balances........................          90          84          29
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         101          84          29
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         101
    90.00 Outlays...........................         101          84          29
    ---------------------------------------------------------------------------

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-8605-0-1-754      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           3
    41.0  Grants, subsidies, and
            contributions...................          98
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         101
    ---------------------------------------------------------------------------

                  Children's Research and Technical Assistance

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1553-0-1-609      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Training and technical assistance.          15          14          14
    00.02 Federal parent locator service....          34          27          27
    00.03 Child welfare study...............                                   6
    00.04 Welfare research..................                                  15
    09.01 Reimbursable program..............           4           9           9
                                               ---------   ---------  ----------
    10.00   Total new obligations...........          53          50          71
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........           8
    22.00 New budget authority (gross)......          43          49          71
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           2           1
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          53          50          71
    23.95 Total new obligations.............         -53         -50         -71
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................          39          40          62
    69.00 Offsetting collections (cash).....           4           9           9
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................          43          49          71
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................          60          36          31
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................          60          36          31
    73.10 Total new obligations.............          53          50          71
    73.20 Total outlays (gross).............         -75         -54         -53
    73.45 Recoveries of prior year
            obligations.....................          -2          -1
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.          36          31          49
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year          36          31          49
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................          23          26          26
    86.98 Outlays from mandatory balances...          52          28          26
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........          75          54          53
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.40   Offsetting collections (cash)
              from: Non-Federal sources.....          -4          -9          -9
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          39          40          62
    90.00 Outlays...........................          71          45          44
    ---------------------------------------------------------------------------

        This account provides funding for research and technical assistance
    activities established in P.L. 104-193. Amounts for child welfare study
    and welfare research are in addition to research amounts in the Children
    and families services program account.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1553-0-1-609      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

    21.0    Travel and transportation of
              persons.......................           1           1           1
    23.3    Communications, utilities, and
              miscellaneous charges.........           1           1           1
    24.0    Printing and reproduction.......                       1           1
    25.1    Advisory and assistance services          23          17          29
    25.2    Other services..................           4           1           1
    25.3    Purchases of goods and services
              from Government accounts......          18          15          24
    26.0    Supplies and materials..........           1           1           1
    41.0    Grants, subsidies, and
              contributions.................           1           4           4
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..          49          41          62
    99.0  Reimbursable obligations..........           4           9           9
                                               ---------   ---------  ----------
    99.9    Total new obligations...........          53          50          71
    ---------------------------------------------------------------------------

           Payments to States for Foster Care and Adoption Assistance

        For making payments to States or other non-Federal entities under
    title IV-E of the Social Security Act, [$4,863,100,000] $4,885,600,000.
        For making payments to States or other non-Federal entities under
    title IV-E of the Social Security Act, for the first quarter of fiscal
    year [2002, $1,735,900,000] 2003, $1,754,000,000. (Departments of Labor,
    Health and Human Services, and Education, and Related Agencies
    Appropriations Act, 2001, as enacted by section 1(a)(1) of P.L. 106-
    554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1545-0-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Foster care.......................       4,536       5,063       5,055
    00.02 Independent living................       1,008         140         140
    00.03 Adoption assistance...............         134       1,198       1,426
                                               ---------   ---------  ----------
    10.00   Total new obligations...........       5,678       6,401       6,621
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......       5,697       6,401       6,621
    23.95 Total new obligations.............      -5,678      -6,401      -6,621
    23.98 Unobligated balance expiring or
            withdrawn.......................         -19
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................       4,342       4,863       4,886
    65.00   Advance appropriation...........       1,355       1,538       1,736
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................       5,697       6,401       6,622
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         853       1,071       1,417
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         853       1,071       1,417
    73.10 Total new obligations.............       5,678       6,401       6,621
    73.20 Total outlays (gross).............      -5,453      -6,055      -6,540
    73.40 Adjustments in expired accounts
            (net)...........................          -7
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.       1,071       1,417       1,498
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year       1,071       1,417       1,498
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................       4,779       5,160       5,637
    86.98 Outlays from mandatory balances...         674         895         903
                                               ---------   ---------  ----------

    [[Page 473]]

    87.00   Total outlays (gross)...........       5,453       6,055       6,540
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................       5,697       6,401       6,621
    90.00 Outlays...........................       5,453       6,055       6,540
    ---------------------------------------------------------------------------

                     Summary of Budget Authority and Outlays

                            (in millions of dollars)

                                         2000 actual  2001 est.   2002 est.
    Enacted/requested:
      Budget Authority..................       5,697       6,401       6,622
      Outlays...........................       5,453       6,055       6,540
    Legislative proposal, subject to
        PAYGO:
      Budget Authority..................                                  60
      Outlays...........................                                   9
                                        ------------------------------------
    Total:
      Budget Authority..................       5,697       6,401       6,682
      Outlays...........................       5,453       6,055       6,549
                                        ====================================

        Foster care.--The proposed level will support eligible low-income
    children who must be placed outside the home. An average of 290,700
    children per month will be served in 2002.

        Adoption assistance.--The proposed funding level will support
    subsidies for families adopting eligible low-income children with
    special needs. An average of 301,600 children per month will be served
    in 2002.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1545-0-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    25.1  Advisory and assistance services..           3           3           3
    41.0  Grants, subsidies, and
            contributions...................       5,675       6,398       6,618
                                               ---------   ---------  ----------
    99.9    Total new obligations...........       5,678       6,401       6,621
    ---------------------------------------------------------------------------

           Payments to States for Foster Care and Adoption Assistance

                    (Legislative proposal, subject to PAYGO)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-1545-4-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.02 Independent living................                                  60
                                               ---------   ---------  ----------
    10.00   Total new obligations (object
              class 41.0)...................                                  60
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......                                  60
    23.95 Total new obligations.............                                 -60
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.00   Appropriation...................                                  60
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
    73.10 Total new obligations.............                                  60
    73.20 Total outlays (gross).............                                  -9
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.                                  51
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year                                  51
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................                                   9
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................                                  60
    90.00 Outlays...........................                                   9
    ---------------------------------------------------------------------------

        This proposal will provide vouchers to youth who age out of foster
    care to cover the costs of college tuition or vocational training.

                             ADMINISTRATION ON AGING

                                  Federal Funds

    General and special funds:

                             Aging Services Programs

        For carrying out, to the extent not otherwise provided, the Older
    Americans Act of 1965, as amended, and section 398 of the Public Health
    Service Act, [$1,103,135,000] $1,097,718,000, of which $5,000,000 shall
    be available for activities regarding medication management, screening,
    and education to prevent incorrect medication and adverse drug
    reactions[: Provided,  That notwithstanding section 308(b)(1) of the
    Older Americans Act of 1965, as amended, the amounts available to each
    State for administration of the State plan under title III of such Act
    shall be reduced not more than 5 percent below the amount that was
    available to such State for such purpose for fiscal year 1995].
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0142-0-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    01.01 Supportive services and centers...         310         325         327
    01.02 Preventive health.................          16          21          21
    01.03 National family caregiver support
            program.........................                     125         127
    01.05 Congregate meals..................         374         378         378
    01.06 Home-delivered meals..............         147         152         158
    01.08 Grants to Indian tribes...........          18          23          25
    01.09 Training, research, and
            discretionary projects..........          29          36          18
    01.10 Aging network support activities..                       2           2
    01.11 Federal administration............          16          17          18
    01.13 Alzheimer's disease demonstration
            grants to States................           6           9           9
    01.14 Grants to States for the
            protection of vulnerable older
            Americans.......................          13          14          14
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         928       1,103       1,098
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........                       2           2
    22.00 New budget authority (gross)......         934       1,103       1,098
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         934       1,105       1,100
    23.95 Total new obligations.............        -928      -1,103      -1,098
    23.98 Unobligated balance expiring or
            withdrawn.......................          -3
    24.40 Unobligated balance carried
            forward, end of year............           2           2
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................         934       1,103       1,098
    40.76   Reduction pursuant to P.L. 106-
              113...........................          -1
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         933       1,103       1,098
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         260         303         389
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         260         303         389
    73.10 Total new obligations.............         928       1,103       1,098
    73.20 Total outlays (gross).............        -884      -1,017      -1,086
    73.40 Adjustments in expired accounts
            (net)...........................          -1
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         303         389         401
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         303         389         401
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................         648         742         746
    86.93 Outlays from discretionary
            balances........................         237         275         340
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         884       1,017       1,086
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         934       1,103       1,098
    90.00 Outlays...........................         884       1,017       1,086
    ---------------------------------------------------------------------------

        Administration on Aging.--The proposed level will provide continued
    funding for core formula grant programs that provide nutrition,
    supportive services and caregiver support services through the aging
    network. AoA programs are part of

    [[Page 474]]

    a comprehensive system of support for older people and their families.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0142-0-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    11.1  Personnel compensation: Full-time
            permanent.......................           8           9           9
    12.1  Civilian personnel benefits.......           2           2           2
    23.1  Rental payments to GSA............           1           2           2
    25.2  Other services....................           7           8           9
    41.0  Grants, subsidies, and
            contributions...................         910       1,082       1,076
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         928       1,103       1,098
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0142-0-1-506      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......         114         117         120
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......           5           5           5
    ---------------------------------------------------------------------------

                             DEPARTMENTAL MANAGEMENT

                                  Federal Funds

    General and special funds:

                         General Departmental Management

        For necessary expenses, not otherwise provided, for general
    departmental management, including hire of six sedans, and for carrying
    out titles III, XVII, and XX of the Public Health Service Act, and the
    United States-Mexico Border Health Commission Act, [$285,224,000]
    $415,348,000, together with $5,851,000, to be transferred and expended
    as authorized by section 201(g)(1) of the Social Security Act from the
    Hospital Insurance Trust Fund and the Supplemental Medical Insurance
    Trust Fund: Provided further, That of the funds made available under
    this heading for carrying out title XX of the Public Health Service Act,
    [$10,377,000] $11,885,000 shall be for activities specified under
    section 2003(b)(2), of which $10,157,000 shall be for prevention service
    demonstration grants under section 510(b)(2) of title V of the Social
    Security Act, as amended, without application of the limitation of
    section 2010(c) of said title XX: Provided further, That [no funds shall
    be obligated for minority AIDS prevention and treatment activities until
    the Department of Health and Human Services submits an operating plan to
    the House and Senate Committees on Appropriations] of this amount,
    $68,700,000 shall be available to support activities to counter
    potential biological disease, and chemical threats to civilian
    populations; $50,000,000 is for minority AIDS prevention and treatment
    activities; and $30,000,000 shall be for an Information Technology
    Security and Innovation Fund for department-wide activities involving
    cybersecurity, information technology security, and related innovation
    projects. (Departments of Labor, Health and Human Services, and
    Education, and Related Agencies Appropriations Act, 2001, as enacted by
    section 1(a)(1) of P.L. 106-554.)

                             office for civil rights

        For expenses necessary for the Office for Civil Rights,
    [$24,742,000] $28,691,000, together with not to exceed $3,314,000, to be
    transferred and expended as authorized by section 201(g)(1) of the
    Social Security Act from the Hospital Insurance Trust Fund and the
    Supplemental Medical Insurance Trust Fund. (Departments of Labor, Health
    and Human Services, and Education, and Related Agencies Appropriations
    Act, 2001, as enacted by section 1(a)(1) of P.L. 106-554.)

                                 policy research

        For carrying out, to the extent not otherwise provided, research
    studies under section 1110 of the Social Security Act and title III of
    the Public Health Service Act, [$16,738,000] $2,500,000: Provided, That
    in addition to amounts provided herein, $18,000,000 shall be available
    from amounts available under section 241 of the Public Health Services
    Act, to carry out any national health or human services research and
    evaluation activities. (Departments of Labor, Health and Human Services,
    and Education, and Related Agencies Appropriations Act, 2001, as enacted
    by section 1(a)(1) of P.L. 106-554.)

               [public health and social services emergency fund]

        [For expenses necessary to support activities related to countering
    potential biological, disease and chemical threats to civilian
    populations, $241,231,000: Provided, That this amount is distributed as
    follows: Centers for Disease Control and Prevention, $181,131,000, of
    which $32,000,000 shall be for the Health Alert Network and $18,040,000
    shall be for the continued study of the anthrax vaccine; and Office of
    Emergency Preparedness, $60,100,000.] (Departments of Labor, Health and
    Human Services, and Education, and Related Agencies Appropriations Act,
    2001, as enacted by section 1(a)(1) of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9912-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
          Direct activities:

    00.01   General departmental management.         225         296         421
    00.02   Office for Civil Rights.........          23          28          32
    00.03   Policy research.................          17          17           3
    00.04   Public health and social
              services emergency fund.......         471         265
    09.01 Reimbursable program..............          83         115         130
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         819         721         586
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........         103          56          32
    22.00 New budget authority (gross)......         900         697         586
    22.22 Unobligated balance transferred
            from other accounts.............           2
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......       1,005         753         618
    23.95 Total new obligations.............        -819        -721        -586
    23.98 Unobligated balance expiring or
            withdrawn.......................        -130
    24.40 Unobligated balance carried
            forward, end of year............          56          32          32
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................         248         568         447
    40.15   Appropriation (emergency).......         566
    40.75   Reduction pursuant to P.L. 106-
              554 (Labor/HHS)...............                      -1
    40.76   Reduction pursuant to P.L. 106-
              113...........................          -2
    41.00   Transferred to other accounts...          -5
    42.00   Transferred from other accounts.          12           6
                                               ---------   ---------  ----------
    43.00     Appropriation (total
                discretionary)..............         819         573         447
          Spending authority from offsetting
              collections:

    68.00   Offsetting collections (cash)...         111         124         139
    68.10   Change in uncollected customer
              payments from Federal sources.         -30
                                               ---------   ---------  ----------
    68.90     Spending authority from
                offsetting collections
                (total discretionary).......          81         124         139
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................         900         697         586
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         398         607         680
    72.95   Uncollected customer payments
              from Federal sources, start of
              year..........................        -119         -89         -89
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................         279         518         591
    73.10 Total new obligations.............         819         721         586
    73.20 Total outlays (gross).............        -843        -648        -749
    73.40 Adjustments in expired accounts
            (net)...........................         232
    74.00 Change in uncollected customer
            payments from Federal sources...          30
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         607         680         517
    74.95   Uncollected customer payments
              from Federal sources, end of
              year..........................         -89         -89         -89
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year         518         591         428
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................         575         355         347
    86.93 Outlays from discretionary
            balances........................         268         293         402
                                               ---------   ---------  ----------

    [[Page 475]]

    87.00   Total outlays (gross)...........         843         648         749
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........        -111        -124        -139
          Against gross budget authority only:

    88.95   Change in uncollected customer
              payments from Federal sources.          30
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         819         573         447
    90.00 Outlays...........................         732         524         610
    ---------------------------------------------------------------------------

                              (Dollars in millions)

                                         2000 actual  2001 est.   2002 est.
    Distribution of budget authority by
        account:
      General Departmental Management...         220         291         415
      Office for Civil Rights...........          19          24          29
      Policy Research...................          17          17           3
      Public Health and Social Services
        Emergency Fund..................         565         241
    Distribution of outlays by account:
      General Departmental Management...         248         205         306
      Office for Civil Rights...........          20          24          28
      Policy research...................          -3          21          12
      Public Health and Social Services
        Emergency Fund..................         467         274         263

        Departmental management (DM) is a consolidated display of accounts
    that fund activities which provide leadership, policy, legal, and
    administrative guidance to HHS components; carry out the Department's
    civil rights and nondiscrimination enforcement programs; and support
    research to develop policy initiatives and improve existing HHS
    programs. DM also includes the activities of the Office of Public Health
    and Science, including adolescent family life, disease prevention and
    health promotion, physical fitness and sports, minority health, research
    integrity, women's health, emergency preparedness and programs to
    counter bioterrorist threats. In FY 2002, General Departmental
    Management (GDM) funding would increase substantially to create a new
    information security and innovation fund to coordinate and better manage
    the department-wide information technology infrastructure. In addition,
    the GDM would receive increased funding to support womens' health and to
    improve HHS headquarters' facilities.

        In FY 2002, no funding is proposed for the Public Health and Social
    Services Emergency Fund (PHSSEF), which will be reserved for true
    emergency funding. Bioterrorism funding currently reflected in the
    PHSSEF account in FY 2001, will be shifted in FY 2002 and is proposed to
    be funded as follows: bioterrorism programs to be carried out by the
    Centers for Disease Control (CDC) would be funded from CDC parent
    accounts and bioterrorism programs in the Office of the Secretary would
    be funded as part of ``General Departmental Management'' activities.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9912-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

            Personnel compensation:
    11.1      Full-time permanent...........          90         107         119
    11.3      Other than full-time permanent           3           3           4
    11.5      Other personnel compensation..           2           2           2
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          95         112         125
    12.1    Civilian personnel benefits.....          20          25          27
    21.0    Travel and transportation of
              persons.......................           3           4           7
    22.0    Transportation of things........                       1
    23.1    Rental payments to GSA..........          13          15          15
    23.3    Communications, utilities, and
              miscellaneous charges.........           4           4           5
    24.0    Printing and reproduction.......           2           2           2
    25.1    Advisory and assistance services           8           1          29
    25.2    Other services..................          28          43          61
    25.3    Purchases of goods and services
              from Government accounts......         113          30          32
    25.4    Operation and maintenance of
              facilities....................           4           3           7
    25.5    Research and development
              contracts.....................           8          36           8
    25.7    Operation and maintenance of
              equipment.....................           5           5           5
    26.0    Supplies and materials..........           4           4           6
    31.0    Equipment.......................          10           8          22
    41.0    Grants, subsidies, and
              contributions.................          59         113         105
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..         376         406         456
    99.0  Reimbursable obligations..........          83         115         130
          Allocation Account:

            Personnel compensation:
    11.1      Full-time permanent...........          23          18
    11.5      Other personnel compensation..           1
                                               ---------   ---------  ----------
    11.9        Total personnel compensation          24          18
    12.1    Civilian personnel benefits.....           7           6
    21.0    Travel and transportation of
              persons.......................           2
    23.1    Rental payments to GSA..........           1           1
    25.1    Advisory and assistance services           1
    25.2    Other services..................          31          50
    25.3    Purchases of goods and services
              from Government accounts......          95          14
    25.5    Research and development
              contracts.....................          19
    25.6    Medical care....................           5
    31.0    Equipment.......................          18          10
    41.0    Grants, subsidies, and
              contributions.................         157         101
                                               ---------   ---------  ----------
    99.0      Subtotal, allocation account..         360         200
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         819         721         586
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9912-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......       1,322       1,488       1,575
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......         196         199         227
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......          55          71          79
    ---------------------------------------------------------------------------

                    Allocations Received From Other Accounts

        Note.--Obligations incurred under allocations from other accounts
    are included in the schedules of the parent appropriation as follows:
    Health Care Financing Administration: ``Health Care Fraud and Abuse
    Control Account.''

                             PROGRAM SUPPORT CENTER

    General and special funds:

          Retirement Pay and Medical Benefits for Commissioned Officers

        For retirement pay and medical benefits of Public Health Service
    Commissioned Officers as authorized by law, for payments under the
    Retired Serviceman's Family Protection Plan and Survivor Benefit Plan,
    for medical care of dependents and retired personnel under the
    Dependents' Medical Care Act (10 U.S.C. ch. 55), and for payments
    pursuant to section 229(b) of the Social Security Act (42 U.S.C.
    429(b)), such amounts as may be required during the current fiscal year.
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0379-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Retirement payments...............         158         176         196
    00.02 Survivors' benefits...............          11          12          13
    00.03 Medical care......................          32          31          32
    00.04 Military service credits..........           1           1           1
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         202         220         242
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    22.00 New budget authority (gross)......         215         220         242
    23.95 Total new obligations.............        -202        -220        -242
    23.98 Unobligated balance expiring or
            withdrawn.......................         -13
    ----------------------------------------------------------------------------

    [[Page 476]]

        New budget authority (gross), detail:
          Mandatory:

    60.05   Appropriation (indefinite)......         215         220         242
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................          17           6          17
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................          17           6          17
    73.10 Total new obligations.............         202         220         242
    73.20 Total outlays (gross).............        -217        -209        -240
    73.40 Adjustments in expired accounts
            (net)...........................           4
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.           6          17          19
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year           6          17          19
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................         200         204         225
    86.98 Outlays from mandatory balances...          17           3          14
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         217         209         240
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................         215         220         242
    90.00 Outlays...........................         217         209         240
    ---------------------------------------------------------------------------

        This activity funds annuities of retired Public Health Service (PHS)
    commissioned officers and survivors of retirees, and medical care to
    active duty PHS commissioned officers, retirees, and dependents of
    members and retirees of the PHS Commissioned Corps.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0379-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    13.0  Benefits for former personnel.....         169         188         209
    25.2  Other services....................          32          31          32
    25.3  Purchases of goods and services
            from Government accounts........           1           1           1
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         202         220         242
    ---------------------------------------------------------------------------

                             Health Activities Funds

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9913-0-1-552      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................          12          11          11
    72.95   Uncollected customer payments
              from Federal sources, start of
              year..........................          -2          -2          -2
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................          10          10          10
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.          11          11          11
    74.95   Uncollected customer payments
              from Federal sources, end of
              year..........................          -2          -2          -2
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year          10          10          10
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................
    ---------------------------------------------------------------------------

        This display shows activities in support of St. Elizabeths Hospital
    and scientific activities overseas that were supported by foreign
    currencies by the United States abroad.

    Intragovernmental funds:

                          HHS Service and Supply Fund

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9941-0-4-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    09.01 Program support center............         249         294         308
    09.02 Federal employee occupational
            health..........................          95         115         116
    09.03 OS activities.....................           7           7           7
                                               ---------   ---------  ----------
    10.00   Total new obligations...........         351         416         431
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........          70          56          56
    22.00 New budget authority (gross)......         314         416         431
    22.10 Resources available from
            recoveries of prior year
            obligations.....................          23
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         407         472         487
    23.95 Total new obligations.............        -351        -416        -431
    24.40 Unobligated balance carried
            forward, end of year............          56          56          56
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    69.00   Offsetting collections (cash)...         447         416         431
    69.10   Change in uncollected customer
              payments from Federal sources.        -108
    69.15   Adjustments to uncollected
              customer payments from Federal
              sources.......................         -25
                                               ---------   ---------  ----------
    69.90     Spending authority from
                offsetting collections
                (total mandatory)...........         314         416         431
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................         129         126         126
    72.95   Uncollected customer payments
              from Federal sources, start of
              year..........................        -237        -129        -129
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................        -108          -3          -3
    73.10 Total new obligations.............         351         416         431
    73.20 Total outlays (gross).............        -357        -416        -431
    73.40 Adjustments in expired accounts
            (net)...........................          25
    73.45 Recoveries of prior year
            obligations.....................         -23
    74.00 Change in uncollected customer
            payments from Federal sources...         108
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.         126         126         126
    74.95   Uncollected customer payments
              from Federal sources, end of
              year..........................        -129        -129        -129
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year          -3          -3          -3
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................         314         416         431
    86.98 Outlays from mandatory balances...          43
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........         357         416         431
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........        -447        -416        -431
          Against gross budget authority only:

    88.95   Change in uncollected customer
              payments from Federal sources.         108
    88.96   Adjustment to uncollected
              customer payments from Federal
              sources.......................          25
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................
    90.00 Outlays...........................         -90
    ---------------------------------------------------------------------------

        The HHS Service and supply fund (SSF) provides common centralized
    services to HHS components. The Program support center (PSC) line
    includes activities such as personnel and payroll administration,
    financial management operations, and a wide array of administrative
    services, including acquisitions management, building and property
    management, and technical support. The Office of the Secretary (OS)
    activities line includes the fund manager, departmental contracts and
    grants, audit resolution, OS graphics, and the regional health

    [[Page 477]]

    administrators. The Federal employee occupational health (FOH) program
    is also funded through the SSF. FOH includes clinical services,
    environmental health services and employee assistance programs.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9941-0-4-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Personnel compensation:

    11.1    Full-time permanent.............          64          71          74
    11.3    Other than full-time permanent..           2           4           4
    11.5    Other personnel compensation....           3           4           4
                                               ---------   ---------  ----------
    11.9      Total personnel compensation..          69          79          82
    12.1  Civilian personnel benefits.......          15          15          16
    21.0  Travel and transportation of
            persons.........................           2           3           3
    22.0  Transportation of things..........           2           2           3
    23.1  Rental payments to GSA............          12          12          13
    23.3  Communications, utilities, and
            miscellaneous charges...........           7           9           9
    24.0  Printing and reproduction.........           1           1           1
    25.1  Advisory and assistance services..          16          24          25
    25.2  Other services....................         105         108         110
    25.3  Purchases of goods and services
            from Government accounts........          27          36          36
    25.4  Operation and maintenance of
            facilities......................          10          10          10
    25.6  Medical care......................          15          17          17
    26.0  Supplies and materials............          61          91          97
    31.0  Equipment.........................           9           9           9
                                               ---------   ---------  ----------
    99.9    Total new obligations...........         351         416         431
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9941-0-4-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    2001  Total compensable workyears: Full-
            time equivalent employment......       1,197       1,290       1,291
    ---------------------------------------------------------------------------

                                   Trust Funds

                            Miscellaneous Trust Funds

                  Unavailable Collections (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9971-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    01.99 Balance, start of year............
        Receipts:
    02.00 Gifts and contributions,
            miscellaneous trust funds.......          29          27          27
    02.20 Contributions, Indian health
            facilities, Health Services
            Administration..................          42          43          43
    02.40 Interest, Miscellaneous trust
            funds...........................           1           1           1
                                               ---------   ---------  ----------
    02.99   Total receipts and collections..          72          71          71
        Appropriations:
    05.00 Miscellaneous trust funds.........         -72         -71         -71
                                               ---------   ---------  ----------
    07.99 Balance, end of year..............
    ---------------------------------------------------------------------------

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9971-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.02 Gifts.............................          27          28          28
    00.03 Contributions, Indian health
            facilities......................          38          43          43
                                               ---------   ---------  ----------
    10.00   Total new obligations...........          65          71          71
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........          47          58          58
    22.00 New budget authority (gross)......          72          71          71
    22.10 Resources available from
            recoveries of prior year
            obligations.....................           4
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......         123         129         129
    23.95 Total new obligations.............         -65         -71         -71
    24.40 Unobligated balance carried
            forward, end of year............          58          58          58
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Mandatory:

    60.27   Appropriation (trust fund,
              indefinite)...................          72          71          71
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................          68          74          62
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................          68          74          62
    73.10 Total new obligations.............          65          71          71
    73.20 Total outlays (gross).............         -54         -83         -69
    73.45 Recoveries of prior year
            obligations.....................          -4
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.          74          62          64
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year          74          62          64
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.97 Outlays from new mandatory
            authority.......................          38          28          28
    86.98 Outlays from mandatory balances...          16          55          41
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........          54          83          69
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          72          71          71
    90.00 Outlays...........................          54          83          69
    ----------------------------------------------------------------------------

        Memorandum (non-add) entries:
    92.01 Total investments, start of year:
            Federal securities: Par value...          15          20          20
    92.02 Total investments, end of year:
            Federal securities: Par value...          20          20          20
    ---------------------------------------------------------------------------

                              [Dollars in millions]

                                            2000         2001        2002
    Distribution of budget authority by
        account:
      Gifts.............................          30          28          28
      Contributions, Indian health
        facilities......................          42          43          43
    Distribution of outlays by account:
      Gifts.............................          17          50          42
      Contributions, Indian health
        facilities......................          37          33          27

        Gifts to the Public health service are for the benefit of patients
    and for research. Contributions are made for the construction,
    improvement, extension, and provision of sanitation facilities.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-9971-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    11.3  Personnel compensation: Other than
            full-time permanent.............           1           1           1
    21.0  Travel and transportation of
            persons.........................           1           1           1
    22.0  Transportation of things..........                       1           1
    25.1  Advisory and assistance services..           1           1           1
    25.2  Other services....................          17          17          17
    25.4  Operation and maintenance of
            facilities......................           4           5           5
    25.5  Research and development contracts           3           4           4
    25.7  Operation and maintenance of
            equipment.......................          10          10          10
    26.0  Supplies and materials............           1           2           2
    31.0  Equipment.........................           1           2           2
    32.0  Land and structures...............           1           2           2
    41.0  Grants, subsidies, and
            contributions...................          25          25          25
                                               ---------   ---------  ----------
    99.9    Total new obligations...........          65          71          71
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-9971-0-7-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    1001  Total compensable workyears: Full-
            time equivalent employment......          34          34          34
    ---------------------------------------------------------------------------

                         OFFICE OF THE INSPECTOR GENERAL

    General and special funds:

                           Office of Inspector General

        For expenses necessary for the Office of Inspector General,
    including the hire of passenger motor vehicles for investigations, in
    carrying out the provisions of the Inspector General Act of 1978, as
    amended, [$33,849,000] $35,786,000: Provided, That of such amount,
    necessary sums are available for providing protective services to the
    Secretary

    [[Page 478]]

    and investigating non-payment of child support cases for which non-
    payment is a Federal offense under 18 U.S.C. 228, each of which
    activities is hereby authorized in this and subsequent fiscal years.
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)

                   Program and Financing (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0128-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

        Obligations by program activity:
    00.01 Direct program....................          31          34          36
    09.01 Reimbursable program..............          20          19          17
                                               ---------   ---------  ----------
    10.00   Total new obligations...........          51          53          53
    ----------------------------------------------------------------------------

        Budgetary resources available for obligation:
    21.40 Unobligated balance carried
            forward, start of year..........           1           1           1
    22.00 New budget authority (gross)......          51          53          53
                                               ---------   ---------  ----------
    23.90   Total budgetary resources
              available for obligation......          52          54          54
    23.95 Total new obligations.............         -51         -53         -53
    24.40 Unobligated balance carried
            forward, end of year............           1           1           1
    ----------------------------------------------------------------------------

        New budget authority (gross), detail:
          Discretionary:

    40.00   Appropriation...................          31          34          36
          Spending authority from offsetting
              collections:

    68.00   Offsetting collections (cash)...          13          19          17
    68.10   Change in uncollected customer
              payments from Federal sources.          18
    68.15   Adjustments to uncollected
              customer payments from Federal
              sources.......................         -11
                                               ---------   ---------  ----------
    68.90     Spending authority from
                offsetting collections
                (total discretionary).......          20          19          17
                                               ---------   ---------  ----------
    70.00   Total new budget authority
              (gross).......................          51          53          53
    ----------------------------------------------------------------------------

        Change in unpaid obligations:
          Unpaid obligations, start of year:

    72.40   Unpaid obligations, start of
              year..........................                      16          26
    72.95   Uncollected customer payments
              from Federal sources, start of
              year..........................          -4         -22         -22
                                               ---------   ---------  ----------
    72.99     Obligated balance, start of
                year........................          -4          -6           4
    73.10 Total new obligations.............          51          53          53
    73.20 Total outlays (gross).............         -49         -43         -53
    73.40 Adjustments in expired accounts
            (net)...........................          12
    74.00 Change in uncollected customer
            payments from Federal sources...         -18
          Unpaid obligations, end of year:

    74.40   Unpaid obligations, end of year.          16          26          26
    74.95   Uncollected customer payments
              from Federal sources, end of
              year..........................         -22         -22         -22
                                               ---------   ---------  ----------
    74.99     Obligated balance, end of year          -6           4           4
    ----------------------------------------------------------------------------

        Outlays (gross), detail:
    86.90 Outlays from new discretionary
            authority.......................          41          49          49
    86.93 Outlays from discretionary
            balances........................           8          -6           4
                                               ---------   ---------  ----------
    87.00   Total outlays (gross)...........          49          43          53
    ----------------------------------------------------------------------------

        Offsets:
          Against gross budget authority and outlays:

    88.00   Offsetting collections (cash)
              from: Federal sources.........         -13         -19         -17
          Against gross budget authority only:

    88.95   Change in uncollected customer
              payments from Federal sources.         -18
    88.96   Adjustment to uncollected
              customer payments from Federal
              sources.......................          11
    ----------------------------------------------------------------------------

        Net budget authority and outlays:
    89.00 Budget authority..................          31          34          36
    90.00 Outlays...........................          36          24          36
    ---------------------------------------------------------------------------

        The Office of Inspector General (OIG) identifies and recommends
    actions to correct fraud, waste, and abuse in HHS administered and
    assisted programs and operations through audits and investigations.

        In addition to the discretionary resources appropriated to the OIG,
    the Health Insurance Portability and Accountability Act of 1996 makes
    available mandatory funding for use by the OIG to combat Medicare fraud
    and abuse through a coordinated Health care fraud and abuse control
    (HCFAC) program with the Department of Justice. The following table
    shows total funding resources for the OIG:

                              (In millions of dollars)

                                             2000 actual   2001 est.   2002 est.
    Budget Authority:
      Discretionary appropriations..........          31          34          36
      Mandatory (HCFAC Account).............         119         130         150
                                               ---------   ---------  ----------
          Total.............................         150         164         186
    Outlays:
      Discretionary appropriations..........          36          24          36
      Mandatory (HCFAC Account).............         116         136         146
                                               ---------   ---------  ----------
          Total.............................         152         160         182

        This schedule reflects distribution of mandatory funds from the
    HCFAC account in FY 2001. Actual FY 2002 distribution will be determined
    by the Secretary of HHS and the Attorney General.

                   Object Classification (in millions of dollars)

    ----------------------------------------------------------------------------
    Identification code 75-0128-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------

          Direct obligations:

    11.1    Personnel compensation: Full-
              time permanent................          17          20          22
    12.1    Civilian personnel benefits.....           4           5           5
    21.0    Travel and transportation of
              persons.......................           2           2           2
    23.1    Rental payments to GSA..........           2           2           2
    25.3    Purchases of goods and services
              from Government accounts......           4           4           4
    26.0    Supplies and materials..........           1
    31.0    Equipment.......................           1           1           1
                                               ---------   ---------  ----------
    99.0      Subtotal, direct obligations..          31          34          36
    99.0  Reimbursable obligations..........          20          19          17
                                               ---------   ---------  ----------
    99.9    Total new obligations...........          51          53          53
    ---------------------------------------------------------------------------

                                  Personnel Summary

    ----------------------------------------------------------------------------
    Identification code 75-0128-0-1-551      2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
        Direct:
    1001  Total compensable workyears: Full-
            time equivalent employment......         261         306         309
        Reimbursable:
    2001  Total compensable workyears: Full-
            time equivalent employment......          95          73          56
        Allocation account:
    3001  Total compensable workyears: Full-
            time equivalent employment......       1,018       1,145       1,315
    ---------------------------------------------------------------------------

                    Allocations Received From Other Accounts

        Note.--Obligations incurred under allocations from other accounts
    are included in the schedules of the parent appropriations as follows:
    Health Care Financing Administration: ``Health Care Fraud and Abuse
    Control Account.''

                          GENERAL FUND RECEIPT ACCOUNTS

                               (in millions of dollars)

    ----------------------------------------------------------------------------
                                             2000 actual   2001 est.   2002 est.
    ----------------------------------------------------------------------------
    Offsetting receipts from the public:
      75-274530  Health education assistance
        loans, downward reestimates of
        subsidies...........................                     136
      75-310700  Federal share of child
        support collections.................         913         896         878
                                               ---------   ---------  ----------
    General Fund Offsetting receipts from
     the public.............................         913       1,032         878
    ----------------------------------------------------------------------------
    Intragovernmental payments:
      20-310530  Quinquennial adjustment for
        military service credits, Federal
        hospital insurance..................                   1,332
                                               ---------   ---------  ----------
    General Fund Intragovernmental payments.                   1,332
    ---------------------------------------------------------------------------

    [[Page 479]]

                               GENERAL PROVISIONS

        Sec. 201. Funds appropriated in this title shall be available for
    not to exceed $37,000 for official reception and representation expenses
    when specifically approved by the Secretary.
        Sec. 202. The Secretary shall make available through assignment not
    more than 60 employees of the Public Health Service to assist in child
    survival activities and to work in AIDS programs through and with funds
    provided by the Agency for International Development, the United Nations
    International Children's Emergency Fund or the World Health
    Organization.
        Sec. 203. None of the funds appropriated under this Act may be used
    to implement section 399L(b) of the Public Health Service Act or section
    1503 of the National Institutes of Health Revitalization Act of 1993,
    Public Law 103-43.
        Sec. 204. None of the funds appropriated in this Act for the
    National Institutes of Health and the Substance Abuse and Mental Health
    Services Administration shall be used to pay the salary of an
    individual, through a grant or other extramural mechanism, at a rate in
    excess of Executive Level [I] II.
        [Sec. 205. None of the funds appropriated in this Act may be
    expended pursuant to section 241 of the Public Health Service Act,
    except for funds specifically provided for in this Act, or for other
    taps and assessments made by any office located in the Department of
    Health and Human Services, prior to the Secretary's preparation and
    submission of a report to the Committee on Appropriations of the Senate
    and of the House detailing the planned uses of such funds.]
        Sec. 205. Notwithstanding section 241(a) of the Public Health
    Service Act, such portion as the Secretary shall determine, but not more
    than 2 percent, of any amounts appropriated for programs authorized
    under the PHS Act shall be made available for the evaluation (directly,
    or by grants or contracts) of the implementation and effectiveness of
    such programs.

                               (transfer of funds)

        [Sec. 206. Not to exceed 1 percent of any discretionary funds
    (pursuant to the Balanced Budget and Emergency Deficit Control Act of
    1985, as amended) which are appropriated for the current fiscal year for
    the Department of Health and Human Services in this Act may be
    transferred between appropriations, but no such appropriation shall be
    increased by more than 3 percent by any such transfer: Provided, That
    the Appropriations Committees of both Houses of Congress are notified at
    least 15 days in advance of any transfer.]
        Sec. 206. Not to exceed 6 percent of any discretionary funds
    (pursuant to the Balanced Budget and Emergency Deficit Control Act of
    1985, as amended), which are appropriated for the current fiscal year
    for the Department of Health and Human Services in this or any other Act
    may be transferred between appropriations: Provided, That the
    Appropriations Committees of both Houses of Congress are notified at
    least 15 days in advance of any transfer.
        Sec. 207. The Director of the National Institutes of Health, jointly
    with the Director of the Office of AIDS Research, may transfer up to 3
    percent among institutes, centers, and divisions from the total amounts
    identified by these two Directors as funding for research pertaining to
    the human immunodeficiency virus: Provided, That the Congress is
    promptly notified of the transfer.
        Sec. 208. Of the amounts made available in this Act for the National
    Institutes of Health, the amount for research related to the human
    immunodeficiency virus, as jointly determined by the Director of the
    National Institutes of Health and the Director of the Office of AIDS
    Research, shall be made available to the ``Office of AIDS Research''
    account. The Director of the Office of AIDS Research shall transfer from
    such account amounts necessary to carry out section 2353(d)(3) of the
    Public Health Service Act.
        Sec. 209. None of the funds appropriated in this Act may be made
    available to any entity under title X of the Public Health Service Act
    unless the applicant for the award certifies to the Secretary that it
    encourages family participation in the decision of minors to seek family
    planning services and that it provides counseling to minors on how to
    resist attempts to coerce minors into engaging in sexual activities.
        Sec. 210. None of the funds appropriated by this Act (including
    funds appropriated to any trust fund) may be used to carry out the
    Medicare+Choice program if the Secretary denies participation in such
    program to an otherwise eligible entity (including a Provider Sponsored
    Organization) because the entity informs the Secretary that it will not
    provide, pay for, provide coverage of, or provide referrals for
    abortions: Provided, That the Secretary shall make appropriate
    prospective adjustments to the capitation payment to such an entity
    (based on an actuarially sound estimate of the expected costs of
    providing the service to such entity's enrollees): Provided further,
    That nothing in this section shall be construed to change the Medicare
    program's coverage for such services and a Medicare+Choice organization
    described in this section shall be responsible for informing enrollees
    where to obtain information about all Medicare covered services.
        Sec. 211. Notwithstanding any other provision of law, no provider of
    services under title X of the Public Health Service Act shall be exempt
    from any State law requiring notification or the reporting of child
    abuse, child molestation, sexual abuse, rape, or incest.
        [Sec. 212. The Foreign Operations, Export Financing, and Related
    Programs Appropriations Act, 1990 (Public Law 101-167) is amended--
            (1) in section 599D (8 U.S.C. 1157 note)--
                    (A) in subsection (b)(3), by striking ``1997, 1998,
                1999, and 2000'' and inserting ``1997, 1998, 1999, 2000 and
                2001''; and
                    (B) in subsection (e), by striking ``October 1, 2000''
                each place it appears and inserting ``October 1, 2001''; and
            (2) in section 599E (8 U.S.C. 1255 note) in subsection (b)(2),
        by striking ``September 30, 2000'' and inserting ``September 30,
        2001''.]
        [Sec. 213. None of the funds provided in this Act or in any other
    Act making appropriations for fiscal year 2001 may be used to administer
    or implement in Arizona or in the Kansas City, Missouri or in the Kansas
    City, Kansas area the Medicare Competitive Pricing Demonstration Project
    (operated by the Secretary of Health and Human Services).]
        Sec. [214] 212. (a) Except as provided by subsection (e) none of the
    funds appropriated by this Act may be used to withhold substance abuse
    funding from a State pursuant to section 1926 of the Public Health
    Service Act (42 U.S.C. 300x-26) if such State certifies to the Secretary
    of Health and Human Services by [March 1, 2001] May 1, 2002 that the
    State will commit additional State funds, in accordance with subsection
    (b), to ensure compliance with State laws prohibiting the sale of
    tobacco products to individuals under 18 years of age.
        (b) The amount of funds to be committed by a State under subsection
    (a) shall be equal to 1 percent of such State's substance abuse block
    grant allocation for each percentage point by which the State misses the
    retailer compliance rate goal established by the Secretary of Health and
    Human Services under section 1926 of such Act.
        (c) The State is to maintain State expenditures in fiscal year
    [2001] 2002 for tobacco prevention programs and for compliance
    activities at a level that is not less than the level of such
    expenditures maintained by the State for fiscal year [2000] 2001, and
    adding to that level the additional funds for tobacco compliance
    activities required under subsection (a). The State is to submit a
    report to the Secretary on all fiscal year [2000] 2001 State
    expenditures and all fiscal year [2001] 2002 obligations for tobacco
    prevention and compliance activities by program activity by July 31,
    [2001] 2002.
        (d) The Secretary shall exercise discretion in enforcing the timing
    of the State obligation of the additional funds required by the
    certification described in subsection (a) as late as July 31, [2001]
    2002.
        (e) None of the funds appropriated by this Act may be used to
    withhold substance abuse funding pursuant to section 1926 from a
    territory that receives less than $1,000,000.
        [Sec. 215. Section 448 of the Public Health Service Act (42 U.S.C.
    285g) is amended by inserting ``gynecologic health,'' after ``with
    respect to''.]
        [Sec. 216. None of the funds appropriated under this Act shall be
    expended by the National Institutes of Health on a contract for the care
    of the 288 chimpanzees acquired by the National Institutes of Health
    from the Coulston Foundation, unless the contractor is accredited by the
    Association for the Assessment and Accreditation of Laboratory Animal
    Care International or has a Public Health Services assurance, and has
    not been charged multiple times with egregious violations of the Animal
    Welfare Act: Provided, That the requirements of section 481(A)(e)(1)
    shall not apply to funds awarded to nonhuman primate research facilities
    of special interest to NIH.]
        [Sec. 217. No grants may be awarded under the first paragraph under
    the heading ``Department of Health and Human Services, Health Resources
    and Services Administration, Health Resources and

    [[Page 480]]

    Services'' in chapter 4 of title II of the Emergency Supplemental Act,
    2000 (Public Law 106-246, division B) until March 1, 2001.]
        [Sec. 218. (a) The second sentence of section 5948(d) of title 5,
    United States Code, is amended to read as follows: ``No agreement shall
    be entered into under this section later than September 30, 2005, nor
    shall any agreement cover a period of service extending beyond September
    30, 2007.''.
        (b) Section 3 of the Federal Physicians Comparability Allowance Act
    of 1978 (5 U.S.C. 5948 note) is amended by striking ``September 30,
    2002'' and inserting ``September 30, 2007''.]
        [Sec. 219. (a) Congress makes the following findings:
            (1) Organ procurement organizations play an important role in
        the effort to increase organ donation in the United States.
            (2) The current process for the certification and
        recertification of organ procurement organizations conducted by the
        Department of Health and Human Services has created a level of
        uncertainty that is interfering with the effectiveness of organ
        procurement organizations in raising the level of organ donation.
            (3) The General Accounting Office, the Institute of Medicine,
        and the Harvard School of Public Health have identified substantial
        limitations in the organ procurement organization certification and
        recertification process and have recommended changes in that
        process.
            (4) The limitations in the recertification process include:
                    (A) An exclusive reliance on population-based measures
                of performance that do not account for the potential in the
                population for organ donation and do not permit
                consideration of other outcome and process standards that
                would more accurately reflect the relative capability and
                performance of each organ procurement organization.
                    (B) A lack of due process to appeal to the Secretary of
                Health and Human Services for recertification on either
                substantive or procedural grounds.
            (5) The Secretary of Health and Human Services has the authority
        under section 1138(b)(1)(A)(i) of the Social Security Act (42 U.S.C.
        1320b-8(b)(1)(A)(i)) to extend the period for recertification of an
        organ procurement organization from 2 to 4 years on the basis of its
        past practices in order to avoid the inappropriate disruption of the
        nation's organ system.
            (6) The Secretary of Health and Human Services can use the
        extended period described in paragraph (5) for recertification of
        all organ procurement organizations to--
                    (A) develop improved performance measures that would
                reflect organ donor potential and interim outcomes, and to
                test these measures to ensure that they accurately measure
                performance differences among the organ procurement
                organizations; and
                    (B) improve the overall certification process by
                incorporating process as well as outcome performance
                measures, and developing equitable processes for appeals.
        (b) Section 371(b)(1) of the Public Health Service Act (42 U.S.C.
    273(b)(1)) is amended--
            (1) by redesignating subparagraphs (D) through (G) as
        subparagraphs (E) through (H), respectively;
            (2) by realigning the margin of subparagraph (F) (as so
        redesignated) so as to align with subparagraph (E) (as so
        redesignated); and
            (3) by inserting after subparagraph (C) the following:
            ``(D) notwithstanding any other provision of law, has met the
        other requirements of this section and has been certified or
        recertified by the Secretary within the previous 4-year period as
        meeting the performance standards to be a qualified organ
        procurement organization through a process that either--
                    ``(i) granted certification or recertification within
                such 4-year period with such certification or
                recertification in effect as of January 1, 2000, and
                remaining in effect through the earlier of--
        ``(I) January 1, 2002; or
        ``(II) the completion of recertification under the requirements of
    clause (ii); or
                    ``(ii) is defined through regulations that are
                promulgated by the Secretary by not later than January 1,
                2002, that--
        ``(I) require recertifications of qualified organ procurement
    organizations not more frequently than once every 4 years;
        ``(II) rely on outcome and process performance measures that are
    based on empirical evidence, obtained through reasonable efforts, of
    organ donor potential and other related factors in each service area of
    qualified organ procurement organizations;
        ``(III) use multiple outcome measures as part of the certification
    process; and
        ``(IV) provide for a qualified organ procurement organization to
    appeal a decertification to the Secretary on substantive and procedural
    grounds;''.]
        Sec. [220] 213. (a) In order for the Centers for Disease Control and
    Prevention to carry out international HIV/AIDS and other infectious
    disease, chronic and environmental disease, and other health activities
    abroad during fiscal year [2001] 2002, the Secretary of Health and Human
    Services is authorized to--
            (1) utilize the authorities contained in subsection 2(c) of the
        State Department Basic Authorities Act of 1956, as amended, subject
        to the limitations set forth in subsection (b), and
            (2) enter into reimbursable agreements with the Department of
        State using any funds appropriated to the Department of Health and
        Human Services, for the purposes for which the funds were
        appropriated in accordance with authority granted to the Secretary
        of Health and Human Services or under authority governing the
        activities of the Department of State.
        (b) In exercising the authority set forth in subsection (a)(1), the
    Secretary of Health and Human Services--
            (1) shall not award contracts for performance of an inherently
        governmental function; and
            (2) shall follow otherwise applicable Federal procurement laws
        and regulations to the maximum extent practicable.
        [Sec. 221. Notwithstanding any other provision of law, the Director,
    National Institutes of Health, may enter into and administer a long-term
    lease for facilities for the purpose of providing laboratory, office and
    other space for biomedical and behavioral research at the Bayview Campus
    in Baltimore, Maryland: Provided, That the House and Senate
    Appropriations Committees will be notified of the terms and conditions
    of the lease upon its execution.]
        [Sec. 222. Of the funds appropriated in this Act for the National
    Institutes of Health, $5,800,000 shall be transferred to the Office of
    the Secretary, General Departmental Management to support the newly
    established Office for Human Research Protections.]
        [Sec. 223. Section 487E(a)(1) of the Public Health Service Act is
    amended by striking ``as employees of the National Institutes of
    Health''.]
        [Sec. 224. Notwithstanding any other provision of law relating to
    vacancies in offices for which appointments must be made by the
    President, including any time limitation on serving in an acting
    capacity, the Acting Director of the National Institutes of Health as of
    January 12, 2000, may serve in that position until a new Director of the
    National Institutes of Health is confirmed by the Senate.]
        [Sec. 225. The National Neuroscience Research Center to be
    constructed on the National Institutes of Health Bethesda campus is
    hereby named the John Edward Porter Neuroscience Research Center]
        Sec. 214. Of funds appropriated in this Act and awarded to a State
    under the Public Health Service Act and Title V of the Social Security
    Act, each State may transfer up to 20 percent of such funds between such
    grants: Provided, That funds for a single grant shall not be increased
    by more than 50 percent above the original grant award amount: Provided
    further, That a State exercising this transfer authority must notify the
    Secretary of Health and Human Services in writing at least 30 days prior
    to implementing such a transfer: Provided further, That the Secretary of
    Health and Human Services shall issue guidance in order to implement
    this transfer authority.
        Sec. 215. With the funds appropriated to the National Institutes of
    Health in this Act, NIH is authorized to obligate in fiscal year 2002
    the full multi-year cost of a grant or contract that is awarded in that
    year, and such obligated funds shall remain available until expended.
    (Departments of Labor, Health and Human Services, and Education, and
    Related Agencies Appropriations Act, 2001, as enacted by section 1(a)(1)
    of P.L. 106-554.)